Provider Demographics
NPI:1093572950
Name:DIVINITY & ASSOCIATES INC
Entity Type:Organization
Organization Name:DIVINITY & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:DIVINITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-776-0888
Mailing Address - Street 1:8060 FLORENCE AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4304
Mailing Address - Country:US
Mailing Address - Phone:562-776-0888
Mailing Address - Fax:562-381-7752
Practice Address - Street 1:8060 FLORENCE AVE STE 209
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4304
Practice Address - Country:US
Practice Address - Phone:562-776-0888
Practice Address - Fax:562-381-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services