Divine Legacy
Divine Legacy is a Corporate Health Clinic/Center in Brooklyn Center, Minnesota. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 4
Practice location Address checks out
3300 County Road 10 Ste 318Brooklyn Center, MN 55429-3066
Phone: (763) 439-2588
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Corporate Health Clinic/Center | Taxonomy 261QC1800X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1073072260 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lakesia Aycock — Administration/Mhp · (763) 439-2588 |
| NPI enumerated | March 18, 2019 |
| Last updated in NPPES | March 18, 2019 |
| Mailing address | 3300 County Road 10 Ste 318, Brooklyn Center, MN 55429-3066 |