Organization
RESTORED MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ODERANTI DNP APRN, FNP/PMHNP (NURSE PRACTITIONER)
(973) 520-7322
Entity
Organization
Contact information
Practice address
261 CARNEGIE PL, VAUXHALL, NJ 07088-1334
(973) 289-5189
Mailing address
803 KENILWORTH BLVD STE 220, KENILWORTH, NJ 07033-1719
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/15/2022
Last updated
10/04/2023
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