Organization
RESURGENCE TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SANCHEZ MILLER MPH (CFO)
(813) 600-5133
Entity
Organization
Contact information
Practice address
3808 GUNN HWY, TAMPA, FL 33618-8757
(813) 600-5133
Mailing address
3808 GUNN HWY, TAMPA, FL 33618-8757
(813) 600-5133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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