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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