Organization
MIRACLE MENTAL HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE IRONNAH MSN (AUTHORIZED OFFICIAL)
(973) 609-7069
Entity
Organization
Contact information
Practice address
58 ARSDALE TER, EAST ORANGE, NJ 07018-2304
(973) 609-7069
Mailing address
58 ARSDALE TER, EAST ORANGE, NJ 07018-2304
(973) 609-7069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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