Divine Light Residential Treatment LLC
Divine Light Residential Treatment LLC is a Substance Abuse Rehabilitation Facility in Baltimore, Maryland. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1200 W Baltimore StBaltimore, MD 21223-2601
Phone: (667) 309-7643
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
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1568121424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sakina Parks — Ceo · (267) 278-1079 |
| NPI enumerated | December 8, 2021 |
| Last updated in NPPES | December 8, 2021 |
| Certification date | December 8, 2021 |
| Mailing address | 1200 W Baltimore St, Baltimore, MD 21223-2601 |
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