Healthcare Provider Details

I. General information

NPI: 1629805619
Provider Name (Legal Business Name): TRINITY MAY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/02/2025
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 RIDGEWOOD WAY
BURLINGTON NJ
08016-4263
US

IV. Provider business mailing address

131 RIDGEWOOD WAY
BURLINGTON NJ
08016-4263
US

V. Phone/Fax

Practice location:
  • Phone: 609-316-2191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERONMWON BALOGUN
Title or Position: OWNER
Credential:
Phone: 609-316-2191