Organization
LEGACY TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE MASON (DIRECTOR OF OPERATIONS)
(615) 986-1615
Entity
Organization
Contact information
Practice address
109 CUDE LN, MADISON, TN 37115-2201
(615) 986-1615
Mailing address
109 CUDE LN, MADISON, TN 37115-2201
(615) 986-1615
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
08/07/2023
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