Organization
ROLA BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE POPOOLA MD (OWNER)
(732) 895-4733
Entity
Organization
Contact information
Practice address
1676 NORTH OLDEN AVE, BLDG 1, EWING, NJ 08638
(609) 235-1610
(609) 235-1610
Mailing address
1676 N OLDEN AVE BLDG 1, EWING, NJ 08638-3209
(609) 235-1610
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NJ00494100
NJ
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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