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DIVINE LIGHT RESIDENTIAL TREATMENT LLC
NPI 1730890146
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Active since December 06, 2022
1200 W BALTIMORE ST, BALTIMORE, MD 21223(667) 309-7643(667) 210-2879 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Light Residential Treatment Llc NPPES

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

DIVINE LIGHT RESIDENTIAL TREATMENT LLC (NPI 1730890146) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since December 2022. The organization lists Sakina Dean, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1730890146
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDIVINE LIGHT RESIDENTIAL TREATMENT LLC
Location Address1200 W BALTIMORE STBaltimore, MD 21223-2601
Mailing Address1200 W Baltimore StBaltimore, MD 21223-2601 · (667) 309-7643 · Fax (667) 210-2879
Phone(667) 309-7643
Fax(667) 210-2879
Organization SubpartNo
Authorized OfficialSakina DeanC.e.o · (267) 278-1079
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1730890146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1200 W BALTIMORE ST, Baltimore, MD 21223
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Other Providers at the Same Location NPPES 4

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

DIVINE LIGHT RESIDENTIAL TREATMENT LLC
Substance Abuse Rehabilitation Facility
1200 W BALTIMORE ST
BALTIMORE, MD 21223
Baltimore City (667) 309-7643
SAKINA PARKS
Substance Abuse Rehabilitation Facility
1200 W BALTIMORE ST
BALTIMORE, MD 21223
Baltimore City (667) 309-7643
COLLABORATIVE CONCEPTS OF MARYLAND, LLC
Community/Behavioral Health
1200 W BALTIMORE ST, SUITE 202 AND 204
BALTIMORE, MD 21223
Baltimore City (443) 873-8258
DIVINE LIGHT RESIDENTIAL TREATMENT LLC
Substance Abuse Rehabilitation Facility
1200 W BALTIMORE ST
BALTIMORE, MD 21223
Baltimore City (267) 278-1079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Light Residential Treatment LLC's NPI number?

The NPI number for Divine Light Residential Treatment LLC is 1730890146. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Divine Light Residential Treatment LLC located?

Divine Light Residential Treatment LLC is located at 1200 W Baltimore St, Baltimore, MD 21223. The listed phone number is (667) 309-7643.

What is Divine Light Residential Treatment LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Divine Light Residential Treatment LLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.