# PITBULL PSYCH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harriet Bomas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861173064
- **Authorized official:** HARRIET BOMAS MSN, PMHNP-BC (PSYCHIACTRIC NURSE PRACTITIONER)
- **Authorized official phone:** (973) 343-1999

## Contact information

- **Practice address:** 455 KILBURY RD, MARION, OH 43302-4530
- **Practice address phone:** (973) 343-1999
- **Mailing address:** 455 KILBURY RD, MARION, OH 43302-4530
- **Mailing address phone:** (973) 343-1999

## 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:** 07/31/2023
- **Last updated:** 02/01/2024