Organization
TABANAKU
Active
Other names
TABANAKU
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DEREMI ADENIYI PRINCIPAL (OWNER)
(732) 423-5025
Entity
Organization
Contact information
Practice address
555 HIGH ST STE 9, MOUNT HOLLY, NJ 08060-1062
(732) 423-5025
(609) 952-0267
Mailing address
555 HIGH ST STE 9, MOUNT HOLLY, NJ 08060-1062
(732) 423-5025
(609) 952-0267
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
04/16/2026
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