Organization
PITBULL PSYCH, LLC
Active
Other names
Harriet Bomas
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIET BOMAS MSN, PMHNP-BC (PSYCHIACTRIC NURSE PRACTITIONER)
(973) 343-1999
Entity
Organization
Contact information
Practice address
455 KILBURY RD, MARION, OH 43302-4530
(973) 343-1999
Mailing address
455 KILBURY RD, MARION, OH 43302-4530
(973) 343-1999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
02/01/2024
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