NPI 1942090352

Holon Health Great Lakes, P.C.

Organisation Peer Specialist Phoenix, AZ

Practice location

Address: 7342 W Indian School Rd STE 107, Phoenix, AZ 85033-3173
Phone: (877) 465-6650
Fax: (804) 294-2775
Mailing address: 3540 Pump Rd # 1188, Richmond, VA 23233-1115

Authorised official

Name: Jason Herzog
Title: Ceo
Phone: (804) 955-5246

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1942090352
Entity type: Organization
NPI issued: 8 May 2025
Record last updated: 8 May 2025

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.