# PREMIUM PSYCHIATRIC CARE NURSING -PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premium Psychiatric Care Nursing -PC, New Harbor Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245061340
- **Authorized official:** ABIBAT BIODUN AJIBOYE NP (CEO)
- **Authorized official phone:** (925) 261-7728

## Contact information

- **Practice address:** 4695 CHABOT DR STE 200, PLEASANTON, CA 94588-2756
- **Practice address phone:** (925) 261-7728
- **Practice address fax:** (925) 420-8625
- **Mailing address:** 4695 CHABOT DR STE 200, PLEASANTON, CA 94588-2756
- **Mailing address phone:** (925) 261-7728
- **Mailing address fax:** (925) 420-8625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2024
- **Last updated:** 07/28/2026
