Sozo Life And Wellness Center, PLLC
Community/Behavioral Health in Durham, NC. Organization (NPI-2).
NPI number1154592657
StatusActive
Last updated in NPPESDec 20, 2011
Details
- NPI
- 1154592657
- Entity type
- Organization (NPI-2)
- Legal business name
- Sozo Life And Wellness Center, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2008
- Last updated
- Dec 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6760 | NC | Yes |
Other names
- Divakay (Former Legal Business Name)
Practice location
3805 Ramblewood AveDurham, NC 27713
Phone 919-695-3943 · Fax 919-767-9652
Mailing address
Po Box 51014Durham, NC 27717-1014
Phone 919-695-3943 · Fax 919-767-9652
Authorized official
Wanda Kay Ceres
Owner
9196953943
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