| NPI | 1487539540 |
|---|---|
| Doing Business As | SOUL ABA LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALEXANDER HOOD Member/ Manager Of Soul Aba LLC 870-520-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |