Legacy Recovery
NPI #1003167446 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1003167446
- Entity Type
- Organization
- Organization Name
- Legacy Recovery
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 168 W WASHINGTON ST
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70802-7655
- Phone
- (225) 300-8091
Authorized Official
- Name
- MRS. ADELL ELLIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (225) 300-8091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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