Organization
LEGACY OUTREACH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACHAN TORAN (CEO/EXECUTIVE DIRECTOR)
(804) 562-8208
Entity
Organization
Contact information
Practice address
14512 GLENMORGAN DR, CHESTER, VA 23831-6638
(804) 562-8208
Mailing address
14512 GLENMORGAN DR, CHESTER, VA 23831-6638
(804) 868-0114
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
07/17/2024
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