Provider Demographics
NPI:1639576374
Name:HOLISTIC FAMILY SERVICES
Entity Type:Organization
Organization Name:HOLISTIC FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POLECTION
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BA, ASSOCIATES
Authorized Official - Phone:267-250-0126
Mailing Address - Street 1:6323 PALMETTO ST
Mailing Address - Street 2:SUITE#1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5769
Mailing Address - Country:US
Mailing Address - Phone:267-250-0126
Mailing Address - Fax:
Practice Address - Street 1:6323 PALMETTO ST
Practice Address - Street 2:SUITE#1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-5769
Practice Address - Country:US
Practice Address - Phone:267-250-0126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management