Organization
11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654
Active
Organization
11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEVEH MAHILUM (OWNER/MANAGER)
(813) 526-4155
Entity
Organization
Contact information
Practice address
11911 PINE FOREST DR, NEW PORT RICHEY, FL 34654-1462
(813) 526-4155
Mailing address
10144 ARBOR RUN DR UNIT 28, TAMPA, FL 33647-3568
(813) 526-4155
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/16/2020
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