Organization
HILLSBOROUGH COUNTY DEPT OF CHILDREN'S SERVICES
Active
Other names
Clinical Services Division
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D. FURMAN III PSY.D. (CLINICAL SERVICES DIRECTOR)
(813) 264-3807
Entity
Organization
Contact information
Practice address
3110 CLAY MANGUM LN, TAMPA, FL 33618-2501
(813) 264-3807
(813) 264-3872
Mailing address
3110 CLAY MANGUM LN, TAMPA, FL 33618-2501
(813) 264-3807
(813) 264-3872
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
8006-24
FL
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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