# HOLON HEALTH GREAT LAKES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holon Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740084896
- **Authorized official:** JASON HERZOG (CEO)
- **Authorized official phone:** (804) 955-5246

## Contact information

- **Practice address:** 5650 S 12TH AVE STE 132, TUCSON, AZ 85706-3187
- **Practice address phone:** (877) 465-6650
- **Mailing address:** 3540 PUMP RD \# 1188, RICHMOND, VA 23233-1115
- **Mailing address phone:** (804) 955-5246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 03/30/2026