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LEGACY BEHAVIORAL HEALTHLLC NPI 1649688896


NPI Information

NPI: 1649688896
Provider Name: LEGACY BEHAVIORAL HEALTH,LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2224 W SAX CANYON CT
ANTHEM, AZ
ZIP 85086
Phone: (520) 400-5709
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LEGACY BEHAVIORAL HEALTH,LLC is a community based residential treatment facility mental illness in Anthem, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LEGACY BEHAVIORAL HEALTH,LLC NPI is 1649688896. The provider is registered as an organization entity type.

The provider's business location address is:

2224 W SAX CANYON CT
ANTHEM, AZ
ZIP 85086-657
Phone: (520) 400-5709
Fax: (623) 776-1776

The provider's authorized official is Chris Alan Banken .
The authorized official title is Ceo/founder and has the following contact phone number (520) 400-5709.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 7/31/2014.


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
1347C00000XPrivate VehicleNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.