| Diamond Valley Behaviroal Llc | |
|
427 High St Burlington NJ 08016-4587 | |
| (609) 587-0113 | |
| (609) 388-6325 |
| Full Name | Diamond Valley Behaviroal Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 427 High St, Burlington, New Jersey |
| Authorized Official Name and Position | Alice L Kalu (APN) |
| Authorized Official Contact | 6095870113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Valley Behaviroal Llc 427 High St Unit 1823 Burlington NJ 08016-4585 Ph: (609) 587-0113 | Diamond Valley Behaviroal Llc 427 High St Burlington NJ 08016-4587 Ph: (609) 587-0113 |
| NPI Number | 1801533443 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Certification Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801533443 | NPI | - | NPPES |
| 1245870658 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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