Holistic Psyc Provider
NPI #1336936996 in Somerset, New Jersey
Provider Information
- NPI Number
- 1336936996
- Entity Type
- Organization
- Organization Name
- Holistic Psyc Provider
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 24, 2025
- Last Updated
- Apr 24, 2025
Practice Location
- Address
- 1521 GOSHEN LN
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-2587
- Phone
- (973) 737-8630
Authorized Official
- Name
- KENECHUKWU EZEANYA
- Title
- OWNER/CEO
- Phone
- (973) 737-8630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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