Organization · NPI-2

Atlas Global Healthcare

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

NPI number1952012791
StatusActive
Last updated in NPPESJun 21, 2023

Details

NPI
1952012791
Entity type
Organization (NPI-2)
Legal business name
Atlas Global Healthcare
Organization subpart
No
Enumeration date
Dec 13, 2022
Certification date
Jun 21, 2023
Last updated
Jun 21, 2023

Taxonomy and licenses

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

Practice location

4624 Hollywood Blvd Ste 204
Hollywood, FL 33021-6526

Phone 954-367-5740

Mailing address

4624 Hollywood Blvd Ste 204
Hollywood, FL 33021-6526

Phone 954-367-5740

Authorized official

Derek Corley
Ceo
2016572364

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