Organization
SOFT LIFE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE GANT (OWNER)
(804) 895-4573
Entity
Organization
Contact information
Practice address
325 BROWN ST STE 112, PETERSBURG, VA 23803-4234
(804) 895-4573
Mailing address
325 BROWN ST STE 112, PETERSBURG, VA 23803-4234
(804) 895-4573
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
10/04/2023
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