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Organization
NEW LEGACY REENTRY CORP
Active
Organization
NEW LEGACY REENTRY CORP
Active
Other names
New Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA DINESE NELSON (EXECUTIVE DIRECTOR)
(502) 276-0660
Entity
Organization
Contact information
Practice address
1115 GARVIN PL, LOUISVILLE, KY 40203-3178
(502) 276-0660
(502) 415-7171
Mailing address
1115 GARVIN PL, LOUISVILLE, KY 40203-3178
(502) 276-0660
(502) 415-7171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
09/27/2024
Last updated
04/01/2026
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