Organization
HEALING GARDEN PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLOLADE EKWERE APRN- PMHNP (OWNER)
(848) 289-1892
Entity
Organization
Contact information
Practice address
653 W EDGAR RD # 1162, LINDEN, NJ 07036-6574
(848) 289-1892
Mailing address
653 W EDGAR RD # 1162, LINDEN, NJ 07036-6574
(848) 289-1892
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871929885
NPI INDIVIDUAL
—
Enumeration date
12/12/2022
Last updated
12/12/2022
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