# VIORAL HEALTH AND BEHAVIORAL SERVICES

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

## Provider details

- **NPI number:** 1598254815
- **Authorized official:** LATIFAH OPARISON (OWNER)
- **Authorized official phone:** (202) 758-5058

## Contact information

- **Practice address:** 252 WASHINGTON ST STE D, TOMS RIVER, NJ 08753-7582
- **Practice address phone:** (202) 758-5058
- **Mailing address:** 252 WASHINGTON ST STE D, TOMS RIVER, NJ 08753-7582
- **Mailing address phone:** (202) 758-5058

## 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:** 05/02/2018
- **Last updated:** 05/02/2018
