Organization
GREAT SHEPHERD BEHAVORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE C EMELUMBA DNP, APRN, PMHNP-BC (OWNER OF ENTITY)
(551) 247-8105
Entity
Organization
Contact information
Practice address
354 AVENUE C, BAYONNE, NJ 07002-1412
(551) 247-8105
Mailing address
354 AVENUE C, BAYONNE, NJ 07002-1412
(973) 573-1648
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
03/08/2022
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