| NPI | 1295387603 |
|---|---|
| Doing Business As | SOUL RENEWAL FAMILY COUNSELING, INC. |
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOHNSON MIMS Director 619-439-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-03-08 |