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Organization
PREMIUM PSYCHIATRIC CARE NURSING -PC
Active
Organization
PREMIUM PSYCHIATRIC CARE NURSING -PC
Active
Other names
Premium Psychiatric Care Nursing -PC, New Harbor Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ABIBAT BIODUN AJIBOYE NP (CEO)
(925) 261-7728
Entity
Organization
Contact information
Practice address
4695 CHABOT DR STE 200, PLEASANTON, CA 94588-2756
(925) 261-7728
(925) 420-8625
Mailing address
4695 CHABOT DR STE 200, PLEASANTON, CA 94588-2756
(925) 261-7728
(925) 420-8625
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
07/28/2026
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