NPI 1003167446

Legacy Recovery

Organisation Mental Illness Community Based Residential Treatment Facility Baton Rouge, LA

Practice location

Address: 168 W Washington St, Baton Rouge, LA 70802-7655
Phone: (225) 300-8091
Fax: (225) 302-7462

Authorised official

Name: Adell Ellis
Title: Executive Director
Phone: (225) 300-8091

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 507 (LA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Registry record

NPI: 1003167446
Entity type: Organization
NPI issued: 25 Sep 2012
Record last updated: 25 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.