Organization
SOUL HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIGI DULANTO M.D. (MEDICAL DIRECTOR)
(505) 718-8673
Entity
Organization
Contact information
Practice address
404 BRUNN SCHOOL RD STE C, SANTA FE, NM 87505-1102
(505) 718-8673
Mailing address
PO BOX 28339, SANTA FE, NM 87592-8339
(505) 718-8673
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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