MY PSYCH PROVIDER LLC

ROCKAWAY, NJ
NPI1730954595
Entity TypeOrganization
Authorized ContactSAMUEL OKECHUKWU
Psychiatric Nurse Practitioner
973-791-9365
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-11-21
Last Update Date2023-11-29
Business Address
MY PSYCH PROVIDER LLC
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866-2129
Phone number: 973-791-9365
Mailing Address
MY PSYCH PROVIDER LLC
100 ENTERPRISE DR STE 301
ROCKAWAY, NJ 07866-2129
Phone number: 973-791-9365