Organization
LEGACY BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYSANDRA ADORNO (BEHABIORAL TECHNICIAN)
(772) 873-6640
Entity
Organization
Contact information
Practice address
643 SE CHAPMAN AVE., PORT ST LUCIE, FL 34984
(772) 873-6640
Mailing address
643 SE CHAPMAN AVE, PORT ST LUCIE, FL 34984-4502
(772) 873-6640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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