Organization · Type 2 NPI
The Legacy Group Foundation, Inc
Addiction (Substance Use Disorder) Counselor · Bayboro, NC
NPI number
1033601562
Active
Practice location
210 Vandemere Rd Unit A
Bayboro, NC 28515-8010
Fax (910) 597-1007
Mailing address
8 Carver Rd
Jacksonville, NC 28540-7010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CSAC-3017 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1033601562
The Legacy Group Foundation, Inc's National Provider Identifier is 1033601562, issued on May 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bayboro, NC. The record was last updated on May 31, 2018.