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Organization
TRUEVINE ADDICTION AND MENTAL HEALTH CLINIC LLC
Active
Organization
TRUEVINE ADDICTION AND MENTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA OKAH NP (CEO)
(201) 993-3110
Entity
Organization
Contact information
Practice address
2294 2ND AVE, NEW YORK, NY 10035-4869
(201) 993-3110
Mailing address
121 GRANT AVE, JERSEY CITY, NJ 07305-3512
(201) 993-3110
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
04/22/2024
Last updated
04/22/2024
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