Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Light Residential Treatment LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1962147082

Divine Light Residential Treatment LLC is a Substance Abuse Rehabilitation Facility in Baltimore, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 W Baltimore St
Baltimore, MD 21223-2601
Phone: (267) 278-1079
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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 number1962147082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sakina Dean — Chief Executive Officer · (267) 278-1079
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address1200 W Baltimore St, Baltimore, MD 21223-2601

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