Organization
NORTHSIDE MENTAL HEALTH CENTER
Active
Organization
NORTHSIDE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA LEWIS BROWN L.C.S.W. (EXECUTIVE DIRECTOR)
(813) 977-8700
Entity
Organization
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 977-8700
(813) 979-0503
Mailing address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 977-8700
(813) 979-0503
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
FL
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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