| NPI | 1598658387 | 
|---|---|
| Doing Business As | SOUL PUSH LLC | 
| Entity Type | Organization | 
| Authorized Contact | ALI FARHAN Owner 605-824-8659  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2025-05-30 | 
| Last Update Date | 2025-05-30 |