Organization
FAITH AND GRACE PSYCHOTHEREAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL NIGRIEL (OWNER/APN)
(862) 266-8267
Entity
Organization
Contact information
Practice address
87 MAIN ST, GLADSTONE, NJ 07934
(862) 266-8267
Mailing address
260 S CLINTON ST, EAST ORANGE, NJ 07018-2509
(862) 266-8267
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/16/2024
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