| NPI | 1154592657 |
|---|---|
| Former Legal Business Name | DIVAKAY |
| Entity Type | Organization |
| Authorized Contact | WANDA KAY CERES Owner 919-695-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6760) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2011-12-20 |