Organization
LEGACY BEHAVIORAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA B. PAJARES LCSW (PRESIDENT)
(561) 722-7866
Entity
Organization
Contact information
Practice address
233 W AVENUE A STE C, BELLE GLADE, FL 33430-3092
(561) 253-3679
(561) 253-3680
Mailing address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 616-8411
(772) 591-0412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076140105
—
FL
Enumeration date
03/13/2009
Last updated
07/21/2022
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