Provider Demographics
NPI:1487765228
Name:NEW ENGLAND HOLISTIC HEALTH CENTER
Entity type:Organization
Organization Name:NEW ENGLAND HOLISTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SALZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-659-3553
Mailing Address - Street 1:155 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2223
Mailing Address - Country:US
Mailing Address - Phone:860-659-3553
Mailing Address - Fax:860-659-0744
Practice Address - Street 1:155 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2223
Practice Address - Country:US
Practice Address - Phone:860-659-3553
Practice Address - Fax:860-659-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT000140106H00000X
CTCT0278872084P0800X
CTCT000486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty