| NPI | 1952889891 |
|---|---|
| Doing Business As | SANTA FE SOUL |
| Entity Type | Organization |
| Authorized Contact | ROBYN BENSON Owner 505-986-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-07-31 |