Provider Demographics
NPI:1427596071
Name:HOLON SYSTEMS CARE, LLC
Entity Type:Organization
Organization Name:HOLON SYSTEMS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-613-6505
Mailing Address - Street 1:207 E MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-5068
Mailing Address - Country:US
Mailing Address - Phone:610-613-6505
Mailing Address - Fax:
Practice Address - Street 1:108 W ROBERTS ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3028
Practice Address - Country:US
Practice Address - Phone:610-613-6505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty