Provider Demographics
NPI:1992458566
Name:HOLISTIC SERVICES & ALTERNATIVE CARE
Entity type:Organization
Organization Name:HOLISTIC SERVICES & ALTERNATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:860-417-8633
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:CT
Mailing Address - Zip Code:06058-0003
Mailing Address - Country:US
Mailing Address - Phone:860-417-8633
Mailing Address - Fax:203-347-3189
Practice Address - Street 1:320 ALBANY TPKE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2540
Practice Address - Country:US
Practice Address - Phone:860-417-8633
Practice Address - Fax:203-347-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty