OrganizationActive
Divine Intervention Treatment Facility LLC
NPI 1699274860 · Substance Use Disorder Rehabilitation Hospital Unit · Violet, LA
Provider details
- NPI number
- 1699274860
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Terione Brock, Owner/Manager(504) 415-9371
Specialties & taxonomies
Hospital Units
Ambulatory Health Care Facilities
Practice location
5665 6th St
Violet, LA 70092-3040
Phone: (504) 415-9371
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 259
Violet, LA 70092-0259
Registry dates
- Enumerated
- 2018-02-02
- Last updated
- 2018-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.