Organization
ESSENTIAL BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MUTIAT AJIBADE MSN (CRNP)
(484) 784-7379
Entity
Organization
Contact information
Practice address
709 N 2ND ST STE 400, PHILADELPHIA, PA 19123-3108
(484) 784-7379
Mailing address
935 E LANCASTER AVE # 1011, DOWNINGTOWN, PA 19335-3328
(484) 784-7379
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
09/11/2023
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