OrganizationActive
Grand Union Holistic Solutions, LLC
NPI 1003677998 · Substance Use Disorder Rehabilitation Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1003677998
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffery Klein, President(929) 487-0003
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1150 South Ave Ste 200
Staten Island, NY 10314-3404
Phone: (929) 487-0003
Approximate (ZIP-level) locationGet directions
Mailing address
1150 South Ave Ste 200
Staten Island, NY 10314-3404
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.