Organization
OPTIMUM BEHAVIORAL SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTINTA CHESTNUT (OWNER)
(443) 557-8519
Entity
Organization
Contact information
Practice address
5020 ROUTE 9W STE 103 # 7, NEWBURGH, NY 12550
(443) 557-8519
Mailing address
5020 ROUTE 9W STE 103 # 7, NEWBURGH, NY 12550
(443) 557-8519
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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