Provider Demographics
NPI:1639571821
Name:SOUL WINNING MISSION ASSOCIATION INC.
Entity Type:Organization
Organization Name:SOUL WINNING MISSION ASSOCIATION INC.
Other - Org Name:NEW VISION HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-977-8320
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-0160
Mailing Address - Country:US
Mailing Address - Phone:860-977-8320
Mailing Address - Fax:
Practice Address - Street 1:180 POQUONOCK AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2429
Practice Address - Country:US
Practice Address - Phone:860-977-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health