Organization
LEGACY RECOVERY CENTER LLC
Active
Parent organization
LEGACY RECOVERY CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY RECOVERY CENTER LLC
Authorized official
RICHARD MILLER (CHIEF EXECUTIVE OFFICER)
(936) 615-0981
Entity
Organization
Contact information
Practice address
W332S9291 RED BRAE DR, MUKWONAGO, WI 53149-9265
(936) 615-0981
(323) 580-0308
Mailing address
W332S9291 RED BRAE DR, MUKWONAGO, WI 53149-9265
(936) 615-0981
(323) 580-0308
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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