Organization
FLORIDA CIRCLE OF HOPE THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FORD (CREDENTIALING)
(408) 666-4685
Entity
Organization
Contact information
Practice address
10305 MANTA WAY, TAMPA, FL 33615-4252
(703) 608-5014
Mailing address
10305 MANTA WAY, TAMPA, FL 33615-4252
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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