Provider Demographics
NPI:1982935730
Name:CENTER FOR HOLISTIC HEALTH INC
Entity Type:Organization
Organization Name:CENTER FOR HOLISTIC HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-997-7700
Mailing Address - Street 1:2916 N RIDGE RD E
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-4396
Mailing Address - Country:US
Mailing Address - Phone:440-997-7700
Mailing Address - Fax:440-997-7700
Practice Address - Street 1:2916 N RIDGE RD E
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4396
Practice Address - Country:US
Practice Address - Phone:440-997-7700
Practice Address - Fax:440-997-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty