OrganizationActive
Diverse Behavioral Services Corp
NPI 1720708977 · Adolescent and Children Mental Health Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1720708977
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mayelin Santos, Owner(813) 610-3262
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4504 Wishart Pl
Tampa, FL 33603-2724
Phone: (813) 610-3262
Approximate (ZIP-level) locationGet directions
Mailing address
4504 Wishart Pl
Tampa, FL 33603-2724
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.