Legacy Behavioral Health Center, Inc. | |
1945 22nd Ave Vero Beach FL 32960-3083 | |
(772) 257-5264 | |
(772) 257-5625 |
Full Name | Legacy Behavioral Health Center, Inc. |
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Speciality | Counselor - Mental Health |
Location | 1945 22nd Ave, Vero Beach, Florida |
Authorized Official Name and Position | Alicia B. Pajares (PRESIDENT/CEO) |
Authorized Official Contact | 5616168411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Legacy Behavioral Health Center, Inc. 1551 Forum Pl West Palm Beach FL 33401-2319 Ph: (561) 616-8411 | Legacy Behavioral Health Center, Inc. 1945 22nd Ave Vero Beach FL 32960-3083 Ph: (772) 257-5264 |
NPI Number | 1730486721 |
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Provider Enumeration Date | 02/28/2011 |
Last Update Date | 03/16/2011 |
Identifier | Type | State | Issuer |
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1730486721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH0002973 (Florida) | Primary |
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