NPI | 1851098651 |
---|---|
Doing Business As | SOULCARE HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | GLORY O OSADIAYE Pmhnp 678-978-4151 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251S00000X |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-02-13 |
Last Update Date | 2023-05-26 |