Organization
BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN A. MALON RN, MSN, APN,C (OPERATING MANAGER)
(973) 940-0116
Entity
Organization
Contact information
Practice address
18 CHURCH ST, SUITE 201, NEWTON, NJ 07860-1756
(973) 940-0116
(973) 940-0104
Mailing address
PO BOX 65, NEWTON, NJ 07860-0065
(973) 940-0116
(973) 940-0104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NC04592400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7227701
—
NJ
Enumeration date
08/03/2006
Last updated
01/10/2012
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