Provider Demographics
NPI:1720806193
Name:ATMOSPHERE TREATMENT CENTER LLC
Entity type:Organization
Organization Name:ATMOSPHERE TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SIMONA
Authorized Official - Middle Name:MORENA
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-888-8881
Mailing Address - Street 1:5320 LOUISE AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2537
Mailing Address - Country:US
Mailing Address - Phone:850-888-8881
Mailing Address - Fax:
Practice Address - Street 1:5320 LOUISE AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2537
Practice Address - Country:US
Practice Address - Phone:850-888-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility