Organization
DIAMOND VALLEY BEHAVIROAL LLC
Active
Other names
Diamond Valley behaviroal llc
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE L KALU PMHNP-BC (APN)
(609) 587-0113
Entity
Organization
Contact information
Practice address
427 HIGH ST, BURLINGTON, NJ 08016-4587
(609) 587-0113
(609) 388-6325
Mailing address
427 HIGH ST UNIT 1823, BURLINGTON, NJ 08016-4585
(609) 587-0113
(609) 388-8632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245870658
—
NJ
Enumeration date
05/16/2022
Last updated
05/16/2022
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