# GARAM HOLISTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144638784
- **Authorized official:** MR. DOAM KIM LAC (PRESIDENT)
- **Authorized official phone:** (201) 585-8285

## Contact information

- **Practice address:** 166 MAIN ST STE 2B, FORT LEE, NJ 07024-6922
- **Practice address phone:** (201) 585-8285
- **Practice address fax:** (201) 585-8290
- **Mailing address:** 161 MAIN ST \#2B, FORT LEE, NJ 07024
- **Mailing address phone:** (201) 585-8285
- **Mailing address fax:** (201) 585-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 25MZ00016800 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 07/28/2014