Organization
THE WIGG CENTER
Active
Other names
Building Opportunities for Communities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEEYAUDA EVELYN BANKS MS (CEO)
(813) 508-3639
Entity
Organization
Contact information
Practice address
4943 E 7TH AVE, TAMPA, FL 33605-4705
(813) 464-4083
(813) 354-3515
Mailing address
4943 E 7TH AVE, TAMPA, FL 33605-4705
(813) 464-4083
(813) 354-3515
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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