Organization
MINDCARE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MATUSALEM PMHNP (OWNER)
(908) 444-0436
Entity
Organization
Contact information
Practice address
3175 ROUTE 27, SUITE 2B, KENDALL PARK, NJ 08824
(908) 444-0436
Mailing address
3175 ROUTE 27, SUITE 2B, KENDALL PARK, NJ 08824
(908) 444-0436
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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