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Organization
DIVINE MENTAL HEALTHCARE SERVICES
Active
Organization
DIVINE MENTAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIKAODI C IBEKU DNP & FNP (CEO)
(973) 223-8417
Entity
Organization
Contact information
Practice address
940 STUYVESANT AVE FL 2, UNION, NJ 07083-6995
(973) 223-8417
(908) 686-9445
Mailing address
940 STUYVESANT AVE FL 2, UNION, NJ 07083-6995
(973) 223-8417
(908) 686-9445
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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