The Center 4 Change, Llc | |
13787 Belcher Rd S Suite 340 Largo FL 33771-4065 | |
(727) 519-0707 | |
(727) 523-9102 |
Full Name | The Center 4 Change, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 13787 Belcher Rd S, Largo, Florida |
Authorized Official Name and Position | Bryan A Bacher (OWNER) |
Authorized Official Contact | 7275190707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Center 4 Change, Llc 13787 Belcher Rd S Suite 340 Largo FL 33771-4065 Ph: (727) 519-0707 | The Center 4 Change, Llc 13787 Belcher Rd S Suite 340 Largo FL 33771-4065 Ph: (727) 519-0707 |
NPI Number | 1700054368 |
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Provider Enumeration Date | 02/18/2008 |
Last Update Date | 02/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700054368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0002835 (Florida) | Primary |
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