Organization
SOULVATION FARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN WILLIAMS CRS (OWNER)
(570) 229-7320
Entity
Organization
Contact information
Practice address
418 S EDWARDS CT, SCRANTON, PA 18504-2876
(570) 229-7320
Mailing address
420 S EDWARDS CT, SCRANTON, PA 18504-2876
(570) 229-7320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/30/2024
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