Organization
TAMPA BAY COMMUNITY MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA PEGUERO MARIN (PRESIDENT)
(813) 930-0999
Entity
Organization
Contact information
Practice address
12421 N FLORIDA AVE STE 201, TAMPA, FL 33612-4277
(813) 930-0999
(813) 433-5626
Mailing address
12421 N FLORIDA AVE STE 201, TAMPA, FL 33612-4277
(813) 930-0999
(813) 433-5626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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