Organization
GRAND UNION HOLISTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY KLEIN (PRESIDENT)
(929) 487-0003
Entity
Organization
Contact information
Practice address
1150 SOUTH AVE STE 200, STATEN ISLAND, NY 10314-3404
(929) 487-0003
Mailing address
1150 SOUTH AVE STE 200, STATEN ISLAND, NY 10314-3404
(929) 487-0003
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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