| Legacy Behavioral Health Center Inc | |
|
1924 Dairy Rd West Melbourne FL 32904-4046 | |
| (321) 256-8000 | |
| (321) 327-2747 |
| Full Name | Legacy Behavioral Health Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1924 Dairy Rd, West Melbourne, Florida |
| Authorized Official Name and Position | Alicia B. Pajares (PRESIDENT) |
| Authorized Official Contact | 5617227866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Behavioral Health Center Inc 518 Sw Prima Vista Blvd Port Saint Lucie FL 34983-8734 Ph: (772) 873-8811 | Legacy Behavioral Health Center Inc 1924 Dairy Rd West Melbourne FL 32904-4046 Ph: (321) 256-8000 |
| NPI Number | 1679226534 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679226534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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