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General NPI Number Information
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NPI Number | 1215976295
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Entity Type | Organization
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Legal Business Name | THE ATLANTIS FOUNDATION
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1105 N MEYER RD
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City | SEABROOK
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State | TX
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Zip | 77586-3535
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Country | US
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Telephone | 281-474-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 N MEYER RD
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City | SEABROOK
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State | TX
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Zip | 77586-3535
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Country | US
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Telephone | 281-474-1430
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. THOMAS JOHN HENNEN
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Credential |
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Telephone | 281-474-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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