Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Marriage & Family Therapist |
106H00000X |
| NPI # | 1396289344 |
||||||||
| LBN Legal business name | ATLAS OUTLOOK | ||||||||
| Authorized official | TAMI MENDEZ - (AUTHORIZED OFFICIAL) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/10/2016 | ||||||||
| Last updated | 12/10/2016 - About 9 years ago | ||||||||
| Identifiers |
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