| NPI | 1922663160 |
|---|---|
| Doing Business As | SOUL SOURCE COUNSELING |
| Doing Business As | SOUL SOURCE COUNSELING & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BERNICE M. DAVIS CEO 973-327-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-05-16 |