Organization
NORTHSIDE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA LOPEZ-SCALZO (SENIOR THERAPIST/LMHC)
(813) 977-8700
Entity
Organization
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 977-8700
(813) 975-8138
Mailing address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH11041
FL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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