# PSYCHIATRY TO GO, LLC

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

## Provider details

- **NPI number:** 1962760553
- **Authorized official:** MICHAEL B MILLER (CEO)
- **Authorized official phone:** (609) 536-9891

## Contact information

- **Practice address:** 180 TUCKERTON RD, SUITE 11, MEDFORD, NJ 08055-8802
- **Practice address phone:** (609) 536-9890
- **Practice address fax:** (609) 423-9060
- **Mailing address:** 180 TUCKERTON RD, SUITE 11, MEDFORD, NJ 08055
- **Mailing address phone:** (609) 536-9890
- **Mailing address fax:** (609) 423-9060

## 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:** 05/02/2012
- **Last updated:** 05/02/2012