Organization
MASAGANA
Active
Other names
Masagana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEVEH C MAHILUM (MANAGER)
(813) 526-4155
Entity
Organization
Contact information
Practice address
9315 N 16TH ST, TAMPA, FL 33612-8655
(813) 526-4155
(813) 501-4995
Mailing address
10144 ARBOR RUN DR UNIT 28, TAMPA, FL 33647-3568
(813) 526-4155
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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