Organization
MERCY HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODETTE CHANTAL TIOMO FNP, PMHNP (NURSE PRACTITIONER)
(732) 771-9001
Entity
Organization
Contact information
Practice address
47 ERNEST STREET, NUTLEY, NJ 07110
(732) 771-9001
Mailing address
56M READING RD, EDISON, NJ 08817-2183
(513) 828-2120
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
07/19/2024
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