Organization
TOUCHED BY AN ANGLE SUPPORT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE B MINGO (OWNER)
(813) 531-1545
Entity
Organization
Contact information
Practice address
9029 WESTCHESTER CIR, APT - A, TAMPA, FL 33604-1542
(813) 531-1545
Mailing address
9029 WESTCHESTER CIR, APT - A, TAMPA, FL 33604-1542
(813) 531-1545
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A232011APD014
FL
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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