| NPI | 1336363456 |
|---|---|
| Doing Business As | NORTHSIDE MENTAL HEALTH HOSPITAL, INC. |
| Entity Type | Organization |
| Authorized Contact | MARY FUMEA Pharmacist 813-977-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL PH8142) |
| Additional Taxonomies | 251S00000X (Licence: FL PH6478) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |