Organization
VITALIZE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL KHACHATRYAN PMHNP-BC (PMHNP-BC)
(732) 808-8414
Entity
Organization
Contact information
Practice address
20 COMMERCE DR STE 135, CRANFORD, NJ 07016-3614
(732) 808-8414
(732) 284-3622
Mailing address
20 COMMERCE DR STE 135, CRANFORD, NJ 07016-3614
(732) 808-8414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
07/22/2025
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