Acina Behavioral Health Solutions LLC
Nurse Practitioner, Psych/Mental Health in Audubon, NJ. Organization (NPI-2).
NPI number1982000741
StatusActive
Last updated in NPPESJan 22, 2015
Details
- NPI
- 1982000741
- Entity type
- Organization (NPI-2)
- Legal business name
- Acina Behavioral Health Solutions LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2014
- Last updated
- Jan 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ00429100 | NJ | Yes |
Practice location
618 S White Horse Pike Fl 1Audubon, NJ 08106-1315
Phone 609-350-4792
Mailing address
59 Grant LnBerlin, NJ 08009-9469
Phone 609-350-4792
Authorized official
Tyreasea A Johnson-Mason
Owner
6093504792
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