Organization
MIRTH HEALTH SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWABUKOLA PRINCESS ADASOFUNJO MD (DR.)
(609) 445-3315
Entity
Organization
Contact information
Practice address
194 N HARRISON ST, PRINCETON, NJ 08540-3516
(609) 445-3315
Mailing address
PO BOX 293, PRINCETON, NJ 08542-0293
(312) 731-7525
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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