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Organization
MIND HARBOR PSYCHIATRIC SERVICES LLC
Active
Organization
MIND HARBOR PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE NNAETO (CEO)
(484) 542-3768
Entity
Organization
Contact information
Practice address
1767 MORRIS AVE STE 303B, UNION, NJ 07083-3511
(484) 542-3768
Mailing address
1767 MORRIS AVE STE 303B, UNION, NJ 07083-3511
(484) 542-3768
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
10/07/2024
Last updated
10/14/2026
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