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

Divine Revitalization Management Incorporated

Organization Adult Mental Health Clinic/Center · NPI 1750521027

Divine Revitalization Management Incorporated is an Adult Mental Health Clinic/Center in Dudley, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009

Practice location Address checks out

102 Trailwood Dr
Dudley, NC 28333-9466
Phone: (919) 330-4601
Fax: (919) 330-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence MHL-096-218 (NC)

Record details

NPI number1750521027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rochelle Herring — Owner · (919) 396-2586
NPI enumeratedFebruary 26, 2009
Last updated in NPPESFebruary 26, 2009
Mailing address205 Deluca Rd, Goldsboro, NC 27534-4417

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