Organization
FAMILY LEGACY MENTAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DYAN STACEY B.S. Q.P. (CEO)
(919) 834-2000
Entity
Organization
Contact information
Practice address
1007 BROAD ST, DURHAM, NC 27705-4143
(919) 834-2000
Mailing address
1011 SCHAUB DR, SUITE 200, RALEIGH, NC 27606-1862
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
04/14/2014
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