Organization
NUEVA VIDA BEHAVIOR CENTER OF TAMPA,INC.
Active
Organization
NUEVA VIDA BEHAVIOR CENTER OF TAMPA,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE C FLORES (CEO)
(813) 626-5690
Entity
Organization
Contact information
Practice address
215 E SLIGH AVE, TAMPA, FL 33604
(813) 626-5690
(813) 621-4285
Mailing address
215 E SLIGH AVE, TAMPA, FL 33604-5547
(813) 626-5690
(813) 621-4285
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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