Provider Demographics
NPI:1386517290
Name:RELENTLESS SOULS
Entity type:Organization
Organization Name:RELENTLESS SOULS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SALOU HAWA
Authorized Official - Middle Name:
Authorized Official - Last Name:KABA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:862-227-6336
Mailing Address - Street 1:28 CONCORD BLVD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-9638
Mailing Address - Country:US
Mailing Address - Phone:862-227-6336
Mailing Address - Fax:
Practice Address - Street 1:28 CONCORD BLVD
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-9638
Practice Address - Country:US
Practice Address - Phone:862-227-6336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty