Organization · NPI-2

Atlantic Treatment Center, LLC

Clinic/Center, Methadone Clinic · Pompano Beach, FL

NPI number1740954585

StatusActive

Last updated in NPPESAug 5, 2021

Details

NPI: 1740954585
Entity type: Organization (NPI-2)
Legal business name: Atlantic Treatment Center, LLC
Organization subpart: No
Enumeration date: Aug 5, 2021
Certification date: Aug 5, 2021
Last updated: Aug 5, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM2800X	Clinic/Center, Methadone Clinic	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–

Other names

Atlantic Treatment Center, LLC (Doing Business As)

Practice location

380 Sw 12th Ave
Pompano Beach, FL 33069-3502

Phone 410-615-4312

Mailing address

380 Sw 12th Ave
Pompano Beach, FL 33069-3502

Phone 410-615-4312

Authorized official

Oluwafemi Shodipe
Ceo
4106154312

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