Organization
VIORAL HEALTH AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAH OPARISON (OWNER)
(202) 758-5058
Entity
Organization
Contact information
Practice address
252 WASHINGTON ST STE D, TOMS RIVER, NJ 08753-7582
(202) 758-5058
Mailing address
252 WASHINGTON ST STE D, TOMS RIVER, NJ 08753-7582
(202) 758-5058
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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