Organization
LEGACY BEHAVIORAL SERVICES INC
Active
Other names
Legacy Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN ALLEN HANSEN (PRESIDENT/CEO)
(661) 861-1133
Entity
Organization
Contact information
Practice address
1800 WESTWIND DR STE 107, BAKERSFIELD, CA 93301-3031
(661) 472-3698
(661) 861-1144
Mailing address
1800 WESTWIND DR STE 107, BAKERSFIELD, CA 93301-3031
(661) 472-3698
(661) 861-1144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
PENDING
CA
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
150039
CA
Other
Enumeration date
06/28/2007
Last updated
02/01/2023
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