Organization
STABILITY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELYA FATAWU APRN (PMHNP-BC)
(216) 246-5697
Entity
Organization
Contact information
Practice address
6001 MENAUL BLVD NE, ALBUQUERQUE, NM 87110-3379
(505) 585-8483
Mailing address
182 PRAIRIE WIND DR, WENTZVILLE, MO 63385-2747
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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