Legacy Treatment Center LLC
NPI #1609266642 in Loa, Utah
Provider Information
- NPI Number
- 1609266642
- Entity Type
- Organization
- Organization Name
- Legacy Treatment Center LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 29, 2015
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MR. TROY J FADDIS, LMFT
- Title
- CLINICAL DIRECTOR
- Phone
- (435) 836-2272
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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