Organization · Type 2 NPI

Integrated Legacy Support Services, LLC

Community/Behavioral Health Agency · Goodyear, AZ

NPI number 1205680386 Active

Practice location

15526 W Rio Vista Ln
Goodyear, AZ 85338-9441

Mailing address

PO Box 67472
Phoenix, AZ 85082-7472

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1205680386

Integrated Legacy Support Services, LLC's National Provider Identifier is 1205680386, issued on Apr 15, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Goodyear, AZ. The record was last updated on Apr 15, 2024.