| The Legacy Workshop Llc | |
|
8215 Cora St Sunland CA 91040-3212 | |
| (818) 531-5507 | |
| Not Available |
| Full Name | The Legacy Workshop Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8215 Cora St, Sunland, California |
| Authorized Official Name and Position | Kathy Garcia Egan (OWNER) |
| Authorized Official Contact | 8185315507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Legacy Workshop Llc 8215 Cora St Sunland CA 91040-3212 Ph: (818) 531-5507 | The Legacy Workshop Llc 8215 Cora St Sunland CA 91040-3212 Ph: (818) 531-5507 |
| NPI Number | 1962844993 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962844993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS13585 (California) | Primary |
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