Basic Information
| Provider Information | |||||||||
| NPI: | 1801232772 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ATLANTICARE BEHAVIORAL HEALTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1086 | ||||||||
| Address2: | |||||||||
| City: | PLEASANTVILLE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082326086 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6092728580 | ||||||||
| FaxNumber: | 6096457343 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 ATLANTIC AVE | ||||||||
| Address2: | SUITE 2300 | ||||||||
| City: | ATLANTIC CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 084017022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095728200 | ||||||||
| FaxNumber: | 6096457343 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2013 | ||||||||
| LastUpdateDate: | 05/17/2013 | ||||||||
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| AuthorizedOfficialLastName: | DREW | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6096457600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 400053404 | NJ | Y | Agencies | Community/Behavioral Health |
No ID Information.