Organization
ACINA BEHAVIORAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYREASEA A JOHNSON-MASON APN (OWNER)
(609) 350-4792
Entity
Organization
Contact information
Practice address
618 S WHITE HORSE PIKE FL 1, AUDUBON, NJ 08106-1315
(609) 350-4792
Mailing address
59 GRANT LN, BERLIN, NJ 08009-9469
(609) 350-4792
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00429100
NJ
Other
Enumeration date
11/06/2014
Last updated
01/22/2015
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