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NPI 1104061951 · Adult Mental Health Clinic/Center · Atlantic City, NJ
Provider details
- NPI number
- 1104061951
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Kostera, Apn(609) 652-3358
- License
- 26NJ00102100 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1125 Atlantic Ave Ste 105
Atlantic City, NJ 08401-4806
Phone: (609) 340-8200
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Atlantic Ave Ste 105
Atlantic City, NJ 08401-4806
Registry dates
- Enumerated
- 2008-12-09
- Last updated
- 2008-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.