| Holistic Services Inc | |
|
1405 Yanceyville St Suite E Greensboro NC 27405-6938 | |
| (336) 333-2559 | |
| (336) 333-2578 |
| Full Name | Holistic Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1405 Yanceyville St, Greensboro, North Carolina |
| Authorized Official Name and Position | Kia Mclean (CEO) |
| Authorized Official Contact | 3362581532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Services Inc 1405 Yanceyville St Suite E Greensboro NC 27405-6938 Ph: (336) 333-2559 | Holistic Services Inc 1405 Yanceyville St Suite E Greensboro NC 27405-6938 Ph: (336) 333-2559 |
| NPI Number | 1376824730 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376824730 | NPI | - | NPPES |
| 8303156 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-041-1041 (North Carolina) | Primary |
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