Provider Demographics
NPI:1215976295
Name:THE ATLANTIS FOUNDATION
Entity type:Organization
Organization Name:THE ATLANTIS FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-474-1430
Mailing Address - Street 1:1105 N MEYER RD
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3535
Mailing Address - Country:US
Mailing Address - Phone:281-474-1430
Mailing Address - Fax:
Practice Address - Street 1:1105 N MEYER RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-3535
Practice Address - Country:US
Practice Address - Phone:281-474-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251J00000XAgenciesNursing Care
Not Answered251V00000XAgenciesVoluntary or Charitable
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities