NPI | 1477210862 |
---|---|
Doing Business As | SOULMA WELLNESS |
Entity Type | Organization |
Authorized Contact | DANA TSYCONYEA STARBYRD Founder 928-202-8173 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1744R1102X Specialist, Research Study |
221700000X Art Therapist | |
225700000X Massage Therapist | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
374K00000X | |
Enumeration Date | 2021-11-20 |
Last Update Date | 2021-11-20 |