Organization
LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA I DUDEK B.S., MHA, CAP (CHIEF COMPLIANCE/PROJECT OFFICER)
(561) 301-9423
Entity
Organization
Contact information
Practice address
14445 BROADWAY AVE, CLEVELAND, OH 44125-1957
(844) 534-3638
Mailing address
95 MAIN AVE STE 121, CLIFTON, NJ 07014-1757
(844) 534-3638
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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