| Four Seasons Behavioral Health Collaborative Inc. | |
|
3107 N 50th St Ste A Tampa FL 33619-2302 | |
| (813) 367-2316 | |
| Not Available |
| Full Name | Four Seasons Behavioral Health Collaborative Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3107 N 50th St Ste A, Tampa, Florida |
| Authorized Official Name and Position | Richard Brown (CEO) |
| Authorized Official Contact | 8133672316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Seasons Behavioral Health Collaborative Inc. 3107 N 50th St Ste A Tampa FL 33619-2302 Ph: (813) 367-2316 | Four Seasons Behavioral Health Collaborative Inc. 3107 N 50th St Ste A Tampa FL 33619-2302 Ph: (813) 367-2316 |
| NPI Number | 1073819850 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073819850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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