NPI | 1023608098 |
---|---|
Doing Business As | SOUL CARE FOR BLACK CLINICIANS |
Entity Type | Organization |
Authorized Contact | LATANYA TOLAN CEO 800-823-1772 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |