Basic Information
| Provider Information | |||||||||
| NPI: | 1740227974 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEININGER BEHAVIORAL CARE SERVICES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 499 COOPER LANDING RD | ||||||||
| Address2: | |||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080022504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564828747 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19 E ORMOND AVE | ||||||||
| Address2: | |||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080342053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564281300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 08/12/2011 | ||||||||
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| AuthorizedOfficialLastName: | ALTAMURA | ||||||||
| AuthorizedOfficialFirstName: | LEONARD | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 8564828747 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 40302-18-04 | NJ | N | Agencies | Community/Behavioral Health | 251B00000X | Y | Agencies | Case Management |
ID Information
| ID | Type | State | Issuer | Description | 4549902 | 05 | NJ | MEDICAID |