| Costar | |
|
530 Cooper St Camden NJ 08102-1252 | |
| (856) 541-1700 | |
| (856) 225-1373 |
| Full Name | Costar |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 Cooper St, Camden, New Jersey |
| Authorized Official Name and Position | Stephanie Kalise Crawley (MENTAL HEALTH AIDE) |
| Authorized Official Contact | 8565411700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costar 530 Cooper St Camden NJ 08102-1252 Ph: (856) 541-1700 | Costar 530 Cooper St Camden NJ 08102-1252 Ph: (856) 541-1700 |
| NPI Number | 1104002963 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104002963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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