Legacy Village Outpatient Id, LLC
NPI #1225721707 in Boise, Idaho
Provider Information
- NPI Number
- 1225721707
- Entity Type
- Organization
- Organization Name
- Legacy Village Outpatient Id, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 31, 2023
- Last Updated
- May 31, 2023
Practice Location
Authorized Official
- Name
- MR. DENNIS SCOTT FARMER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (800) 997-6977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Substance Abuse Rehabilitation Facility |
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| Legacy Village Hq, LLC |  AI Deep Dive |
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| Sage Recovery LLC | AI Deep Dive |
| Joint Powers Entity | AI Deep Dive |
| Community Health Clinics, Inc. | AI Deep Dive |
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