# RESTORAVIVE MENTAL HEALTH & WELLNESS LLC

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

## Provider details

- **NPI number:** 1649175589
- **Authorized official:** SANTRIA CHINEME (APN)
- **Authorized official phone:** (732) 433-4077

## Contact information

- **Practice address:** 24 WICK DR, FORDS, NJ 08863-1407
- **Practice address phone:** (732) 433-4077
- **Practice address fax:** (888) 221-3637
- **Mailing address:** 24 WICK DR, FORDS, NJ 08863-1407
- **Mailing address phone:** (732) 433-4077
- **Mailing address fax:** (888) 221-3637

## Taxonomy

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

## Other

- **Enumeration date:** 10/12/2026
- **Last updated:** 10/12/2026