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Organization
GOD'S OWN HOLISTIC BEHAVIORAL HEALTH SERVICES INC
Active
Organization
GOD'S OWN HOLISTIC BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS ADENIYI PMHNP (SOLE OWNER & PMHNP)
(617) 217-8255
Entity
Organization
Contact information
Practice address
356 PROSPECT ST, BROCKTON, MA 02301-3368
(617) 217-8255
Mailing address
356 PROSPECT ST, BROCKTON, MA 02301-3368
(617) 217-8255
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
12/23/2024
Last updated
12/23/2024
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