Legacy Behavioral Health Center INC
Case Management in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1104593680
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1104593680
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Behavioral Health Center INC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2021
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
518 Sw Prima Vista BlvdPort Saint Lucie, FL 34983-8734
Phone 772-873-8811 · Fax 772-873-8800
Mailing address
2640 Forest Hill BlvdWest Palm Beach, FL 33406-5931
Phone 561-616-8411 · Fax 561-616-8412
Authorized official
Alicia B. Pajares
President
5617227866
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All 6 Case Management Agency providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie
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