Organization · Type 2 NPI

New Legacy Reentry Corp

Mental Health Clinic/Center (Including Community Mental Health Center) · Louisville, KY

NPI number 1265250393 Active

Practice location

1115 Garvin Pl
Louisville, KY 40203-3178

Fax (502) 415-7171

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Recovery Care Clinic/Center 261QR0800XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1265250393

New Legacy Reentry Corp's National Provider Identifier is 1265250393, issued on Sep 27, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Louisville, KY. The record was last updated on Apr 1, 2026.