Organization
RESTORE ARK HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYEBOLA ASENUGA PMHNP (APN)
(201) 354-7112
Entity
Organization
Contact information
Practice address
108 WATCHUNG AVE # 1006, PLAINFIELD, NJ 07060-1251
(201) 354-7112
(973) 833-1466
Mailing address
108 WATCHUNG AVE # 1006, PLAINFIELD, NJ 07060-1251
(201) 354-7112
(973) 833-1466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
12/21/2024
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