| NPI | 1558180372 |
|---|---|
| Doing Business As | SOULMINE DESTINATIONS |
| Entity Type | Organization |
| Authorized Contact | CHANDRA GREEN CEO / Head Therapist & Facilitator 913-303-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |