Legacy Treatment Center LLC

NPI #1013655034 in Phoenix, Arizona

Provider Information

NPI Number
1013655034
Entity Type
Organization
Organization Name
Legacy Treatment Center LLC
Primary Specialty
Clinic/Center - Recovery Care
Enumeration Date
May 20, 2022
Last Updated
Aug 29, 2022

Practice Location

Address
2720 E THOMAS RD SUITE C150
State
Arizona
ZIP Code
85016
Phone
(623) 455-1194

Authorized Official

Name
MR. ENRIC JOHN BALORIA
Title
OWNER
Phone
(623) 455-1194

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Recovery CareRecovery Care

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