| NPI | 1003485913 |
|---|---|
| Former Legal Business Name | WHOLE SOUL HEALING LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA FRESNICS Owner/Therapist 732-693-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-06-07 |