person
Tabetha Tapiwa-rose Keita
Mental Health Clinic/Center (Including Community Mental Health Center) in Toms River, New Jersey
NPI 1508580945

Tabetha Tapiwa-rose Keita is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lakewood, NJ and is specialized in Mental Health (Including Community Mental Health Center). Tabetha Tapiwa-rose Keita practices in Toms River, NJ. The NPI Number for Tabetha Tapiwa-rose Keita is 1508580945 and holds a License No. (New Jersey).

The current practice location address for Tabetha Tapiwa-rose Keita is 414 Marc Dr, Toms River, NJ and can be reached out via phone at 732-270-4823 and via fax at 732-270-4951. You can also correspond with Tabetha Tapiwa-rose Keita through the mailing address at PO BOX 2036, LAKEWOOD, NJ - 08701-8036 (mailing address contact number: 732-270-4823).

Location: 414 Marc Dr, Toms River, NJ, 08701-8036
person
Provider Profile Details
NPI Number
1508580945
Provider Name
Tabetha Tapiwa-rose Keita
Credential
Provider Entity Type
Individual
Gender
Female
Address
414 Marc Dr, Toms River, NJ, 08701-8036
Phone Number
732-270-4823
Fax Number
732-270-4951
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0029807 05 NJ
institution
Provider Business Practice Location Address Details
Address
414 Marc Dr
City
State
Zip
08753-4228
Phone Number
732-270-4823
Fax Number
732-270-4951
person
Provider Business Mailing Address Details
Address
414 Marc Dr
City
State
Zip
08753-4228
Phone Number
732-270-4823
Fax Number
732-270-4951
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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