DIVINE GLOW HEALTH LLC

Clinic/Center — Community Health

Code: 261QC1500X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Primary Care

Code: 261QP2300X

Nurse Practitioner

Code: 363L00000X

Nurse Practitioner — Community Health

Code: 363LC1500X

Nurse Practitioner — Family

Code: 363LF0000X

Nurse Practitioner — Primary Care

Code: 363LP2300X

Nurse Practitioner — Women's Health

Code: 363LW0102X

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X