Organization
LEGACY BEHAVIORAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA B. PAJARES LSCW (PRESIDENT)
(561) 722-7866
Entity
Organization
Contact information
Practice address
304 NW 5TH ST, OKEECHOBEE, FL 34972-2565
(863) 357-8268
(863) 357-8269
Mailing address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 616-8411
(561) 616-8412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076140102
—
FL
Enumeration date
08/24/2021
Last updated
02/09/2022
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