Organization · Type 2 NPI
Legacy Behavioral Health
Mental Illness Community Based Residential Treatment Facility · Sparta, TN
NPI number
1538083019
Active
Practice location
189 Mose Dr
Sparta, TN 38583-3401
Mailing address
403 Oakland Dr
Sparta, TN 38583-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1538083019
Legacy Behavioral Health's National Provider Identifier is 1538083019, issued on Aug 6, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sparta, TN. The record was last updated on Aug 6, 2026.