Organization
SOUL EMINENCE CENTER FOR SPIRITUAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLIVIA BREWER MSC, LBS (PRESIDENT)
(610) 653-4021
Entity
Organization
Contact information
Practice address
3411 N 16TH ST APT 2062, PHOENIX, AZ 85016-7175
(610) 653-4021
Mailing address
PO BOX 54012, PHOENIX, AZ 85078-4012
(610) 653-4021
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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