# GROWTH OUTPATIENT MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518744846
- **Authorized official:** SAMIRAH BOSTIC (OWNER/ PSYCHIATRIC PROVIDER)
- **Authorized official phone:** (732) 844-3424

## Contact information

- **Practice address:** 485C US HIGHWAY 1 S STE 100-36, ISELIN, NJ 08830-3037
- **Practice address phone:** (732) 844-3424
- **Mailing address:** PO BOX 392, AVENEL, NJ 07001-0392
- **Mailing address phone:** (732) 844-3424
- **Mailing address fax:** (732) 621-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2023
- **Last updated:** 06/10/2025