Organization · Type 2 NPI
Legacy Treatment Center LLC
Substance Abuse Rehabilitation Facility · Loa, UT
NPI number
1609266642
Active
Practice location
1764 West Aspen Lane
Loa, UT 84747-0400
Fax (435) 836-2274
Mailing address
PO Box 400
Loa, UT 84747-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 11669 (UT) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
Other substance abuse rehabilitation facility providers in Loa
About NPI 1609266642
Legacy Treatment Center LLC's National Provider Identifier is 1609266642, issued on Jan 29, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Loa, UT. The record was last updated on Jul 21, 2022.