Mental Health Nourishment
NPI #1366989881 in South Orange, New Jersey
Provider Information
- NPI Number
- 1366989881
- Entity Type
- Organization
- Organization Name
- Mental Health Nourishment
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 22, 2017
- Last Updated
- Apr 20, 2017
Practice Location
- Address
- 81 2ND ST
- Address 2
- SUITE 8
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-1861
- Phone
- (862) 283-7409
Authorized Official
- Name
- LISSA EDMOND
- Title
- APN
- Phone
- (862) 283-7409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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