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1922390715
NORTHSIDE MENTAL HEALTH
TAMPA, FL
NPI
1922390715
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Entity Type
Organization
Authorized Contact
ELAINE CHURTON
Director
813-977-8700
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: FL SW7140)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
NORTHSIDE MENTAL HEALTH
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
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Mailing Address
NORTHSIDE MENTAL HEALTH
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
Copy
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