NPI:
1669498002
Provider Name:
NORTHSIDE BEHAVIORAL HEALTH CENTER, INC.
Former Legal Business Name: NORTHSIDE MENTAL HEALTH CTR, INC
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
12512 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Phone:
(813) 977-8700
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NORTHSIDE BEHAVIORAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Tampa, FL. NORTHSIDE BEHAVIORAL HEALTH CENTER, INC. NPI is 1669498002. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northside Mental Health Ctr, Inc.
The provider's business location address is:
12512 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Phone: (813) 977-8700
Fax: (813) 971-2029
The provider's authorized official is Lynda Gorken .
The authorized official title is Vice President and has the following contact phone number (727) 281-9202.
The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/1/2023.