Healthcare Provider Details

I. General information

NPI: 1144190067
Provider Name (Legal Business Name): ATLANTICARE BEHAVIORAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 BLACK HORSE PIKE
EGG HARBOR TWP NJ
08234-9752
US

IV. Provider business mailing address

6550 DELILAH RD STE 301
EGG HARBOR TWP NJ
08234-5102
US

V. Phone/Fax

Practice location:
  • Phone: 609-567-3896
  • Fax:
Mailing address:
  • Phone: 609-833-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA MELENDEZ
Title or Position: SENIOR DIRECTOR FINANCE
Credential:
Phone: 609-833-9988