Legacy Ohio

NPI #1295127314 in Grandview Heights, Ohio

Provider Information

NPI Number
1295127314
Entity Type
Organization
Organization Name
Legacy Ohio
Subpart
Yes (part of a larger organization)
Parent Organization
LEGACY TREATMENT CENTER
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 26, 2015
Last Updated
Feb 26, 2015

Practice Location

Address
751 NORTHWEST BLVD
Address 2
SUITE 200-1
State
Ohio
ZIP Code
43212-3856
Phone
(954) 560-5238

Authorized Official

Name
BRAD WILKERSON
Title
CEO
Phone
(954) 560-5238

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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