# LEGACY BEHAVIORAL HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063189546
- **Authorized official:** MS. ALICIA B. PAJARES (PRESIDENT)
- **Authorized official phone:** (561) 722-7866

## Contact information

- **Practice address:** 304 NW 5TH ST, OKEECHOBEE, FL 34972-2565
- **Practice address phone:** (863) 357-8268
- **Practice address fax:** (863) 357-8269
- **Mailing address:** 2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
- **Mailing address phone:** (561) 616-8411
- **Mailing address fax:** (561) 616-8412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 08/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 914478101 | 91 - MEDICAID | FL |