Organization
DIVINE RESTORATION BEHAVIORAL HEALTH LLC
Active
Other names
Divine Restoration Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDONNE MBOUADEU DNP (PMHNP-BC)
(774) 318-7893
Entity
Organization
Contact information
Practice address
98 LOWER WESTFIELD RD STE 101, HOLYOKE, MA 01040-2744
(774) 318-7893
Mailing address
98 LOWER WESTFIELD RD STE 101, HOLYOKE, MA 01040-2744
(774) 420-1993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
08/15/2024
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