Organization
HEALTH AND WELLNESS BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAGIE MARY (OWNER/APN)
(201) 957-1119
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL STE 503, EAST ORANGE, NJ 07018-2010
(201) 957-1119
(201) 367-2438
Mailing address
236 CLAIRMONT TER, ORANGE, NJ 07050-3144
(201) 957-1119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
08/10/2024
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