Organization · Type 2 NPI

Legacy Senior Management LLC

Mental Illness Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1780177535 Active

Practice location

152 N 56th St Ste B
Mesa, AZ 85205-8718

Call (480) 985-0680 Map

Fax (480) 396-6231

Mailing address

3602 E Greenway Rd Ste 104
Phoenix, AZ 85032-4648

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH5449 (AZ)

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.

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About NPI 1780177535

Legacy Senior Management LLC's National Provider Identifier is 1780177535, issued on Jun 7, 2018. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 7, 2018.