Provider Demographics
NPI:1821892407
Name:ALL-AGES BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:ALL-AGES BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLALEKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEFOWOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-223-8378
Mailing Address - Street 1:38 PARK ST APT 23E
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1746
Mailing Address - Country:US
Mailing Address - Phone:973-223-8378
Mailing Address - Fax:
Practice Address - Street 1:38 PARK ST APT 23E
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1746
Practice Address - Country:US
Practice Address - Phone:973-223-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty