Organization
PURPLEBLUE BEHAVIORAL HEALTH
Active
Other names
Same
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA INOKON APN, DNP (PMHNP-BC/CO-OWNER)
(551) 358-7383
Entity
Organization
Contact information
Practice address
34 UNION AVE, IRVINGTON, NJ 07111-3219
(551) 358-7382
Mailing address
290 CLERMONT TER, UNION, NJ 07083-8003
(551) 358-7383
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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