Organization
LEGACY 44
Active
Organization
LEGACY 44
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAW HARRISON (FOUNDER/EXECUTIVE DIRECTOR)
(919) 824-8571
Entity
Organization
Contact information
Practice address
4290 CEDARCROFT CT APT 2B, GREENSBORO, NC 27409-9217
(919) 824-8571
Mailing address
4290 CEDARCROFT CT APT 2B, GREENSBORO, NC 27409-9217
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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