# ESSENTIAL BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1811602535
- **Authorized official:** MISS MUTIAT AJIBADE MSN (CRNP)
- **Authorized official phone:** (484) 784-7379

## Contact information

- **Practice address:** 709 N 2ND ST STE 400, PHILADELPHIA, PA 19123-3108
- **Practice address phone:** (484) 784-7379
- **Mailing address:** 935 E LANCASTER AVE \# 1011, DOWNINGTOWN, PA 19335-3328
- **Mailing address phone:** (484) 784-7379

## 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:** 01/17/2023
- **Last updated:** 09/11/2023