| NPI | 1396355129 |
|---|---|
| Former Legal Business Name | HOLISTIC HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BLACKSTON Owner/Director 410-517-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-05-25 |