Organization
FAMILY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN M ELLIS (PROVIDER ENGAGEMENT & CREDENTIALING)
(765) 540-2100
Entity
Organization
Contact information
Practice address
4300 W CYPRESS ST STE 825, TAMPA, FL 33607-4253
(719) 540-2100
Mailing address
2860 S CIRCLE DR STE 109, COLORADO SPRINGS, CO 80906-4195
(719) 540-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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