Organization
SOUL COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR PEREZ GONZALEZ (CEO)
(305) 244-6234
Entity
Organization
Contact information
Practice address
8140 COLLEGE PKWY STE 203, FORT MYERS, FL 33919-5169
(305) 244-6234
Mailing address
8140 COLLEGE PKWY STE 203, FORT MYERS, FL 33919-5169
(305) 244-6234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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