| NPI | 1164298360 |
|---|---|
| Doing Business As | TERRA SOMA SOUL |
| Entity Type | Organization |
| Authorized Contact | JESSICA WALLNER Owner 207-710-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |