Organization
HOLISTIC MATRIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY VANDERLIN (OWNER)
(219) 331-4221
Entity
Organization
Contact information
Practice address
607 W INDIANA AVE, CHESTERTON, IN 46304-2327
(219) 331-4221
Mailing address
607 W INDIANA AVE, CHESTERTON, IN 46304-2327
(219) 331-4221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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