Provider First Line Business Practice Location Address:
MENTAL HEALTHCARE, INC. DBA GRACEPOINT
Provider Second Line Business Practice Location Address:
5707 N 22ND STREET, TAMPA, FL 33610-4350
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:
813-239-8069
Provider Business Practice Location Address Fax Number:
813-231-7324
Provider Enumeration Date:
02/22/2024