Divine Prodigy LLC
Divine Prodigy LLC is a Mental Illness Community Based Residential Treatment Facility in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
117 Church St 115 Carmel Ridge RdHenderson, NC 27536-4226
Phone: (252) 431-9115
Fax: (252) 438-6140
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 Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 194 (NC) |
|---|
Record details
| NPI number | 1598997959 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nikkitra Williams — Owner · (252) 431-9115 |
| NPI enumerated | August 19, 2009 |
| Last updated in NPPES | September 2, 2009 |
| Mailing address | Po Box 2191, Henderson, NC 27536-2191 |
Other providers in Henderson
-
American Human Services, Inc
1410 N Lynnbank Rd, Henderson, NC 27537-7331 · (919) 851-5114
-
House of Destiny
1009 Harriett St, Henderson, NC 27536-5527 · (252) 432-5970