OrganizationActive
Divine Intervention Recovery Center, LLC
NPI 1093430126 · Substance Use Disorder Rehabilitation Clinic/Center · Enon, OH
Provider details
- NPI number
- 1093430126
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Divine Intervention Recovery Center LLC
- Organization subpart
- Yes
- Authorized official
- Fayetta Barron, Director of Clinical Services(937) 797-1926
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7373 Dayton Springfield Rd
Enon, OH 45323-1462
Phone: (937) 862-0008
Street-level locationGet directions
Mailing address
7373 Dayton Springfield Rd
Enon, OH 45323-1462
Other names (DBA / former)
- Doing business as
- Divine Intervention Recovery Center
Registry dates
- Enumerated
- 2022-10-11
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.