| Innovative Mental Health Therapies | |
|
330 Milltown Rd Ste 22 East Brunswick NJ 08816-2267 | |
| (908) 992-9227 | |
| Not Available |
| Full Name | Innovative Mental Health Therapies |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 330 Milltown Rd Ste 22, East Brunswick, New Jersey |
| Authorized Official Name and Position | Grace Elizabeth Peters (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 7328419191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Mental Health Therapies 5406 Woodland Ave Suite 2305 Pocono Pines PA 18350 Ph: (732) 841-9191 | Innovative Mental Health Therapies 330 Milltown Rd Ste 22 East Brunswick NJ 08816-2267 Ph: (908) 992-9227 |
| NPI Number | 1861152530 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 9931586435 |
|---|---|
| Medicare Enrollment ID | O20220524000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861152530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Grace E Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417264318 PECOS PAC ID: 4587840202 Enrollment ID: I20110513000579 |
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