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 |
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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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