LEGEND TREATMENT CENTER OF CLEVELAND LLC NPI 1720714561

NPI Information

NPI: 1720714561
Provider Name: LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
14445 BROADWAY AVE
CLEVELAND, OH
ZIP 44125
Phone: (844) 534-3638
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LEGEND TREATMENT CENTER OF CLEVELAND, LLC is a substance abuse rehabilitation facility in Cleveland, OH. 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. LEGEND TREATMENT CENTER OF CLEVELAND, LLC NPI is 1720714561. The provider is registered as an organization entity type.

The provider's business location address is:

14445 BROADWAY AVE
CLEVELAND, OH
ZIP 44125-957
Phone: (844) 534-3638

The provider's authorized official is Eva I Dudek .
The authorized official title is Chief Compliance/project Officer and has the following contact phone number (561) 301-9423.

The enumeration date for this NPI number is 7/25/2022 and was last updated on 7/25/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

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: 5/5/2024

NPI Synchronization or Removal

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