Organization
LEGACY BEHAVIORAL HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA LOUREDA M.ED. (HUMAN RESOURCES CONSULTANT)
(561) 310-4513
Entity
Organization
Contact information
Practice address
835 AZALEA LN, APT. 11, VERO BEACH, FL 32963-4900
(772) 584-6772
Mailing address
835 AZALEA LANE, APT. 11, VERO BEACH, FL 32963-4900
(772) 584-6772
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
014520
TN
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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