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Organization

HOLISTIC SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIA MCLEAN (CEO)
(336) 258-1532
Entity
Organization

Contact information

Practice address
1405 YANCEYVILLE ST, SUITE E, GREENSBORO, NC 27405-6938
(336) 333-2559
(336) 333-2578
Mailing address
1405 YANCEYVILLE ST, SUITE E, GREENSBORO, NC 27405-6938
(336) 333-2559
(336) 333-2578

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-041-1041
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8303156
NC
Enumeration date
08/30/2011
Last updated
08/30/2011
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