Organization
LEGACY FREEDOM TREATMENT CENTER
Active
Other names
LEGACY TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MELENDEZ (DIRECTOR)
(954) 560-5238
Entity
Organization
Contact information
Practice address
4944 PARKWAY PLAZA BLVD, SUITE 300, CHARLOTTE, NC 28217-1972
(954) 560-5238
(888) 510-9071
Mailing address
445 DOLLEY MADISON RD, GREENSBORO, NC 27410-5165
(954) 560-5238
(888) 510-9071
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL0601265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL0601265
STATE LICENSE
NC
Enumeration date
05/25/2016
Last updated
05/25/2016
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