Provider Demographics
NPI:1700112067
Name:AMERICAN HOLISTIC HEALTH CARE LLC
Entity Type:Organization
Organization Name:AMERICAN HOLISTIC HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:DIAB
Authorized Official - Suffix:
Authorized Official - Credentials:CA
Authorized Official - Phone:908-656-5827
Mailing Address - Street 1:50 OAKLAND PLACE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3482
Mailing Address - Country:US
Mailing Address - Phone:908-656-5827
Mailing Address - Fax:
Practice Address - Street 1:48 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3482
Practice Address - Country:US
Practice Address - Phone:908-656-5827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00025700171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty