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Organization
THE LEGACY TEAM LLC
Active
Organization
THE LEGACY TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALTHEA ALSTON BS (CEO)
(919) 685-2324
Entity
Organization
Contact information
Practice address
4200 SUNSET FALLS RD, WAKE FOREST, NC 27587-4312
(919) 673-4419
Mailing address
4200 SUNSET FALLS RD, WAKE FOREST, NC 27587-4312
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/22/2019
Last updated
06/10/2020
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