| Atlantis Mental Health Center, Corp | |
|
3900 Nw 79th Ave Suite 704 Doral FL 33166-6556 | |
| (305) 471-7353 | |
| Not Available |
| Full Name | Atlantis Mental Health Center, Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3900 Nw 79th Ave, Doral, Florida |
| Authorized Official Name and Position | Vladimir De La Cruz (PRESIDENT) |
| Authorized Official Contact | 3054717353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantis Mental Health Center, Corp 3900 Nw 79th Ave Suite 704 Doral FL 33166-6556 Ph: (305) 471-7353 | Atlantis Mental Health Center, Corp 3900 Nw 79th Ave Suite 704 Doral FL 33166-6556 Ph: (305) 471-7353 |
| NPI Number | 1770596223 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770596223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | HCC7103 (Florida) | Primary |
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