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Organization
ATLANTIS MENTAL HEALTH CENTER, CORP
Active
Organization
ATLANTIS MENTAL HEALTH CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR DE LA CRUZ (PRESIDENT)
(305) 471-7353
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 704, DORAL, FL 33166-6556
(305) 471-7353
Mailing address
3900 NW 79TH AVE, SUITE 704, DORAL, FL 33166-6556
(305) 471-7353
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC7103
FL
Other
Enumeration date
08/15/2006
Last updated
01/08/2008
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