Organization
NEW LEGACY RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY FLYNN (INSURANCE DIRECTOR)
(949) 419-5700
Entity
Organization
Contact information
Practice address
1510 NEWTOWN PIKE STE 120, LEXINGTON, KY 40511-1255
(859) 618-6800
(949) 315-3013
Mailing address
PO BOX 12295, LEXINGTON, KY 40582-2295
(859) 618-6800
(949) 315-3013
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
810588
KY
Other
Enumeration date
09/21/2017
Last updated
09/22/2017
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