Legacy Behavioral Health Center in Port St Lucie - Community/behavioral Health
Legacy Behavioral Health Center - NPI 1629234422
Legacy Behavioral Health Center is a Community/behavioral Health in Port St Lucie, Florida. Legacy Behavioral Health Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Legacy Behavioral Health Center is 1629234422. The last update date is 2008-07-31.
Legacy Behavioral Health Center's current location address is 643 Se Chapman Ave, Port St Lucie, Florida. You can contact this provider via phone number 7728736640. The mailing address for Legacy Behavioral Health Center is 643 Se Chapman Ave, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Legacy Behavioral Health Center |
|---|---|
| Address | 643 Se Chapman Ave, Port St Lucie, Florida |
| Phone Number | 7728736640 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BEHABIORAL |
|---|---|
| Authorized Official Name | Adorno Lysandra |
| Telephone Number | 7728736640 |
NPI Number Detail
| NPI Number | 1629234422 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 643 Se Chapman Ave |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349844502 |
| Phone Number | 7728736640 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identification code assigned to Legacy Behavioral Health Center by the Centers for Medicare & Medicaid Services?
The Legacy Behavioral Health Center has been issued the NPI (National Provider Identifier) 1629234422, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Legacy Behavioral Health Center is located?
The Legacy Behavioral Health Center is situated at the following address: 643 Se Chapman Ave, Port St Lucie, FL, 349844502.
What is the area of specialization for Legacy Behavioral Health Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Legacy Behavioral Health Center is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date was the 1629234422 assigned to Legacy Behavioral Health Center?
The Legacy Behavioral Health Center was issued its 1629234422 on 2008-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Legacy Behavioral Health Center most recently updated or revised?
The information pertaining to Legacy Behavioral Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-31.
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