Provider First Line Business Practice Location Address:
5707 N 22ND STREET
Provider Second Line Business Practice Location Address:
MENTAL HEALTH CARE INC
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-272-2878
Provider Business Practice Location Address Fax Number:
813-272-3766
Provider Enumeration Date:
02/23/2007