Organization
LEGACY BEHAVIORAL HEALTH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ALAN BANKEN B.S. (CEO/FOUNDER)
(520) 400-5709
Entity
Organization
Contact information
Practice address
2224 W SAX CANYON CT, ANTHEM, AZ 85086-3657
(520) 400-5709
(623) 776-1776
Mailing address
2224 W SAX CANYON CT, ANTHEM, AZ 85086-3657
(520) 400-5709
(623) 776-1776
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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