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Organization

BLAIR BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL LYNN GRAVES PMHNP (CEO)
(609) 626-1783
Entity
Organization

Contact information

Practice address
16 DORSET AVE, MILLVILLE, NJ 08332-4836
(609) 626-1783
Mailing address
2124 N 2ND ST # 1014, MILLVILLE, NJ 08332-1304
(609) 626-1783

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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