Organization
HOLISTIC HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA SWANSON (OWNER/DIRECTOR)
(804) 289-0757
Entity
Organization
Contact information
Practice address
7869 ETCHING STREET, NORTH CHESTERFIELD, VA 23237
(804) 289-0757
Mailing address
7869 ETCHING STREET, NORTH CHESTERFIELD, VA 23237
(804) 289-0757
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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