Organization · Type 2 NPI
Legacy Valley Addiction Treatment
Mental Health Clinic/Center (Including Community Mental Health Center) · Victorville, CA
NPI number
1366240301
Active
Practice location
16519 Victor St Ste 302
Victorville, CA 92395-3967
Mailing address
12654 Seventh Ave
Victorville, CA 92395-9577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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About NPI 1366240301
Legacy Valley Addiction Treatment's National Provider Identifier is 1366240301, issued on Mar 5, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Victorville, CA. The record was last updated on Mar 5, 2025.