| NPI | 1184338618 |
|---|---|
| Doing Business As | DIVINE RESTORATION BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ABDONNE MBOUADEU Pmhnp Bc 774-318-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-08-15 |