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Organization
RESTORATIVE PSYCH LLC
Active
Organization
RESTORATIVE PSYCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NJOROGE KIMANI NP (OWNER)
(908) 205-8973
Entity
Organization
Contact information
Practice address
123 LEXINGTON AVE, SOUTH PLAINFIELD, NJ 07080-2610
(732) 322-1807
Mailing address
123 LEXINGTON AVE, SOUTH PLAINFIELD, NJ 07080-2610
(732) 322-1807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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