Organization
LEGACY BEHAVIORAL HEALTH CENTER
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
(616) 168-4125
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110114100
91 - MEDICAID
FL
Enumeration date
01/02/2013
Last updated
08/24/2021
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