Carson Legacy LLC

NPI #1346052875 in Caldwell, Idaho

Provider Information

NPI Number
1346052875
Entity Type
Organization
Organization Name
Carson Legacy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CARSON LEGACY LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jan 22, 2025
Last Updated
Jan 22, 2025

Practice Location

Address
2423 S GEORGIA AVE
State
Idaho
ZIP Code
83605-4477
Phone
(208) 455-1788

Authorized Official

Name
PAIGE CARSON
Title
OWNER
Phone
(267) 229-3694

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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