NPI 1003677998
Grand Union Holistic Solutions, LLC
Practice location
- Address
- 1150 South Ave STE 200, Staten Island, NY 10314-3404
- Phone
- (929) 487-0003
Authorised official
- Name
- Jeffery Klein
- Title
- President
- Phone
- (929) 487-0003
Registered specialties
Substance Use Disorder Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1003677998
- Entity type
- Organization
- NPI issued
- 18 Jan 2024
- Record last updated
- 18 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.