Divine Revitalization Management Incorporated
Organization Active NPI Adult Mental Health Clinic/Center · Dudley, NC
NPI 1750521027 · NPPES record last updated Feb 26, 2009
Key facts
- NPI
- 1750521027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- MHL-096-218 (NC)
- Legal business name
- DIVINE REVITALIZATION MANAGEMENT INCORPORATED
- Practice address
- 102 Trailwood Dr
Dudley, NC 28333-9466 - Phone
- (919) 330-4601
- Fax
- (919) 330-4601
- NPI assigned
- Feb 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Ms. Rochelle Nicole Herring, BS
- Title
- Owner
- Phone
- (919) 396-2586
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | MHL-096-218 | NC | Yes |
Addresses
Primary practice location
102 Trailwood Dr
Dudley, NC 28333-9466
Mailing address
205 Deluca Rd
Goldsboro, NC 27534-4417
Phone (919) 751-1254
Other providers in Dudley, NC
- 4 Counties Transitional Services
- Accolent Consultants
- Alm Family Homes,Inc
- Black Excellence Striving Therapeutic
- Jennifer Nicole Brinson
- Deborah Faircloth
- Alvin Grant
- Shawn Austin Ham
- House for Margaret Inc.
- House for Margaret Inc.
All providers in Dudley, NC · Adult Mental Health Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.