Organization
GREY MATTER BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOYIN OLADEJI PMHNP-BC (EXECUTIVE DIRECTOR)
(505) 433-4632
Entity
Organization
Contact information
Practice address
7916 BRADY RD NW, ALBUQUERQUE, NM 87120-1246
(505) 433-4632
Mailing address
4524 PALMYRA AVE NW, ALBUQUERQUE, NM 87114-4241
(505) 433-4632
(505) 792-3221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
01/03/2024
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