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Organization
SOMA PSYCH FAMILY THERAPY, INC.
Active
Organization
SOMA PSYCH FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTENA RACHEL WILSON (CHIEF EXECUTIVE OFFICER (CEO))
(760) 459-9790
Entity
Organization
Contact information
Practice address
2021 SPERRY AVE STE 20, VENTURA, CA 93003-7446
(760) 459-9790
Mailing address
85 PONIU CIR, WAILUKU, HI 96793-2906
(760) 459-9790
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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