Organization
K&E BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI FORYANG MBEUFONJOH CRNP (PMHNP)
(908) 477-3144
Entity
Organization
Contact information
Practice address
4338 W THOMAS RD STE U1, PHOENIX, AZ 85031-3878
(908) 477-3144
Mailing address
4338 W THOMAS RD STE U1, PHOENIX, AZ 85031-3878
(908) 477-3144
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
09/13/2022
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