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Contact Information

ATLANTIC MENTAL HEALTH PROGRAM, INC
654 NE 9TH PL
HOMESTEAD, FL33030
 Phone: 305-248-3488
 Fax: 305-248-3488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for ATLANTIC MENTAL HEALTH PROGRAM, INC

NPI # 1770511479
LBN Legal business name ATLANTIC MENTAL HEALTH PROGRAM, INC
Authorized official AIDELYN LOPEZ - (PRESIDENT ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2006
Last updated 06/07/2018 - About 8 years ago
Identifiers
FL License # HCC4181
FL Medicaid 004814500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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