| NPI | 1942020235 |
|---|---|
| Doing Business As | SPIRIT SOUL AND BODY CLINICAL SERVICES LLC |
| Doing Business As | SPIRIT SOUL AND BODY CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERIC RICHARDS Licensed Master Social Worker 860-881-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2025-01-28 |