Legacy House
NPI #1285757187 in Anderson, California
Provider Information
- NPI Number
- 1285757187
- Entity Type
- Organization
- Organization Name
- Legacy House
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6893 HAPPY VALLEY RD
- City
- Anderson
- State
- California
- ZIP Code
- 96007-9526
- Phone
- (530) 365-9119
Authorized Official
- Name
- MR. DAVID I NERVO
- Title
- OWNER
- Phone
- (707) 467-0911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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