OrganizationActive
Divine Residential Services, LLC
NPI 1619793445 · Psychiatric Residential Treatment Facility · Corinth, MS
Provider details
- NPI number
- 1619793445
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Brandon Triggs, Administrator
Mailing address
18519 Loch Bend Ave
Greenwell Springs, LA 70739-4776
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.