DIVINE INTERVENTION RECOVERY CENTER, LLC
NPI 1629756176
Community/Behavioral Health in Enon, OH

Q: What is Divine Intervention Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 06, 2023CLIA 36D2271804 · Waiver

7373 DAYTON SPRINGFIELD RD, ENON, OH 45323(937) 862-0008 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Divine Intervention Recovery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE INTERVENTION RECOVERY CENTER, LLC (NPI 1629756176), doing business as Divine Intervention Recovery Center, is a healthcare organization registered as a community/behavioral health in Enon, Ohio and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Fayetta Barron, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1629756176

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDIVINE INTERVENTION RECOVERY CENTER, LLC

Location Address7373 DAYTON SPRINGFIELD RDEnon, OH 45323-1462

Mailing Address7373 Dayton Springfield RdEnon, OH 45323-1462 · (937) 862-0008

Phone(937) 862-0008

Organization SubpartNo

Authorized OfficialFayetta BarronDirector Of Clinical Services · (937) 862-0008

Enumeration DateJuly 6, 2023

NPPES CertifiedJuly 6, 2023

✔ NPI 1629756176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

7373 DAYTON SPRINGFIELD RD, Enon, OH 45323

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Other Names 1

Doing Business AsDivine Intervention Recovery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2271804

Divine Intervention Recovery Center · Enon, OH

Active · expires Nov 7, 2026

CLIA Number36D2271804

Laboratory TypeCommunity Clinic

Certificate Effective DateNovember 8, 2024

Certificate Expiration DateNovember 7, 2026

Laboratory DirectorFaye J. Barron

Laboratory Phone(937) 862-0008

Laboratory LocationDivine Intervention Recovery Center7373 Dayton Springfield Rd, Enon, OH 45323

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINE INTERVENTION RECOVERY CENTER, LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)