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Organization
MENTAL HEALTH GROUP OF GREATER TAMPA BAY
Active
Organization
MENTAL HEALTH GROUP OF GREATER TAMPA BAY
Active
Other names
Central ALF
Organization subpart
No
Provider details
NPI number
Authorized official
RICKI KANETI (PRESIDENT)
(727) 327-7860
Entity
Organization
Contact information
Practice address
2349 CENTRAL AVE, ST PETERSBURG, FL 33713-8845
(727) 323-9405
Mailing address
2349 CENTRAL AVE, ST PETERSBURG, FL 33713-8845
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL7919
FL
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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