Organization · NPI-2

Atlas Behavioral Health, PA

Clinic/Center, Mental Health (Including Community Mental Health Center) · Palm Coast, FL

NPI number1740472174
StatusActive
Last updated in NPPESNov 18, 2013

Details

NPI
1740472174
Entity type
Organization (NPI-2)
Legal business name
Atlas Behavioral Health, PA
Organization subpart
No
Enumeration date
Aug 9, 2007
Last updated
Nov 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

50 Leanni Way Unit B3
Palm Coast, FL 32137-4754

Phone 386-446-5494 · Fax 386-447-1357

Mailing address

50 Leanni Way Unit B3
Palm Coast, FL 32137-4754

Phone 386-446-5494 · Fax 386-447-1357

Authorized official

Kathleen Vacchelli
Owner
3864465494

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