Organization
MENTAL HEALTH ASSOCIATES OF TAMPA BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT A CARUSO MSW, LCSW (PRESIDENT)
(352) 243-1319
Entity
Organization
Contact information
Practice address
3632 HAWKSHEAD DR, CLERMONT, FL 34711-6940
(352) 243-1319
Mailing address
3632 HAWKSHEAD DR, CLERMONT, FL 34711-6940
(352) 243-1319
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW1344
FL
Other
Enumeration date
12/09/2014
Last updated
12/12/2014
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