# URBAN BEHAVIORAL HEALTH SERVICES CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396102059
- **Authorized official:** GLORIA WALTON (OWNER)
- **Authorized official phone:** (201) 898-3610

## Contact information

- **Practice address:** 424 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07304-2210
- **Practice address phone:** (201) 898-3610
- **Mailing address:** 424 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07304-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 01/25/2016