Organization
ETAB BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRAT ODUKALE NP (OWNER/AUTHORIZED OFFICIAL)
(732) 261-4917
Entity
Organization
Contact information
Practice address
771C ROOSEVELT AVE # 285, CARTERET, NJ 07008-2350
(732) 261-4917
Mailing address
771C ROOSEVELT AVE # 285, CARTERET, NJ 07008-2350
(732) 261-4917
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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