Organization
LEGACY BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDY HERRERA GARCIA MA (CLINICAL DIRECTOR)
(772) 597-0411
Entity
Organization
Contact information
Practice address
15818 SW WARFIELD BLVD, INDIANTOWN, FL 34956-3513
(772) 597-0411
Mailing address
15818 SW WARFIELD BLVD, INDIANTOWN, FL 34956-3513
(772) 597-0411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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