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NPI Code Detail

MEDICARE: ATLANTICARE BEHAVIORAL HEALTH, INC.

MEDICARE: ATLANTICARE BEHAVIORAL HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2251S00000XCommunity/Behavioral Health Agency
3251S00000XCommunity/Behavioral Health Agency40005-06-04NJ
4251S00000XCommunity/Behavioral Health Agency2000326NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093873556
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTICARE BEHAVIORAL HEALTH, INC.
Provider Business Mailing Address
First Line : 6550 DELILAH RD
Second Line : SUITE 301
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-5102
Country : US
Telephone Number : 609-272-8580
Fax Number :
Provider Business Practice Location Address
First Line : 120 S WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-1804
Country : US
Telephone Number : 609-561-7911
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. JULIE DREW
Credential :
Telephone Number : 609-645-7601
Provider Enumeration Date : 12/05/2006
Last Update Date : 03/17/2018

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Directions to “ATLANTICARE BEHAVIORAL HEALTH, INC. ” Practice Location

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