| NPI | 1588087647 |
|---|---|
| Doing Business As | SOUL SANCTUARY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA CARL HAMBURG CEO 312-315-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-08-29 |