Organization
211 TAMPA BAY CARES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKI THOMPSON (EXECUTIVE DIRECTOR)
(727) 403-4062
Entity
Organization
Contact information
Practice address
14155 58TH STREET NORTH, SUITE 211, CLEARWATER, FL 33760
(727) 403-4062
Mailing address
14155 58TH STREET NORTH, SUITE 211, CLEARWATER, FL 33760
(727) 403-4062
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11
CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK
FL
Enumeration date
08/02/2016
Last updated
08/02/2016
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