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Organization
GRACE WELLNESSNP IN PSYCHIATRY PLLC
Active
Organization
GRACE WELLNESSNP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COMFORT OBAMWONYI (OWNER)
(959) 277-0432
Entity
Organization
Contact information
Practice address
645 ALLERTON AVE, BRONX, NY 10467-7403
(929) 389-1783
(347) 919-6041
Mailing address
2220 PINEGATE DR APT 365, HOUSTON, TX 77008-3976
(929) 389-1783
(347) 919-6041
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
09/18/2026
Last updated
09/18/2026
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