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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