| NPI | 1962809152 |
|---|---|
| Doing Business As | DIVINE SUPPORTBEDGE HEALTHCARE SERVICES. |
| Entity Type | Organization |
| Authorized Contact | OLAYIDE OLANIYAN CEO 919-401-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2018-03-08 |