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Organization
LEGACY COMMUNITY SOLUTIONS INCORPORATED
Active
Organization
LEGACY COMMUNITY SOLUTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOLA WITHERSPOON (PRESIDENT)
(954) 274-1053
Entity
Organization
Contact information
Practice address
4100 S HOSPITAL DR STE 100, PLANTATION, FL 33317-2831
(954) 769-1055
(954) 533-1739
Mailing address
4100 S HOSPITAL DR STE 100, PLANTATION, FL 33317-2831
(954) 769-1055
(954) 533-1739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/13/2023
Last updated
01/25/2024
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