CHANGESU

NPI # 

Practice Address:

998 Emerson Drive

Dunedin, FL, 34698

Practice Phone:

727-422-5659

Practice Fax:

727-279-4944

License Number:

IMH1215

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X