Organization · Type 2 NPI
Legacy Wellness LLC
Substance Use Disorder Rehabilitation Clinic/Center · Edmond, OK
NPI number
1104735596
Active
Practice location
609 S Kelly Ave Bldg F
Edmond, OK 73003-5659
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1104735596
Legacy Wellness LLC's National Provider Identifier is 1104735596, issued on Sep 2, 2026. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Edmond, OK. The record was last updated on Sep 2, 2026.