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LEGACY FREEDOM TREATMENT CENTER NPI 1063860666


NPI Information

NPI: 1063860666
Provider Name: LEGACY FREEDOM TREATMENT CENTER

Other Name: LEGACY TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4944 PARKWAY PLAZA BLVD
SUITE 300
CHARLOTTE, NC
ZIP 28217
Phone: (954) 560-5238
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LEGACY FREEDOM TREATMENT CENTER is a substance abuse rehabilitation facility in Charlotte, NC. The provider is 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. LEGACY FREEDOM TREATMENT CENTER NPI is 1063860666. The provider is registered as an organization entity type.
The provider Other Name Is Legacy Treatment Center.

The provider's business location address is:

4944 PARKWAY PLAZA BLVD
SUITE 300
CHARLOTTE, NC
ZIP 28217-972
Phone: (954) 560-5238
Fax: (888) 510-9071

The provider's authorized official is Denise Melendez .
The authorized official title is Director and has the following contact phone number (954) 560-5238.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityMHL0601265NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MHL0601265OTHERNORTH CAROLINASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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