NPI 1023709912
Lee Legacy Group LLC
Practice location
- Address
- 1802 E Vineyard Rd, Phoenix, AZ 85042-5704
- Phone
- (480) 932-1804
Authorised official
- Name
- Tremeal Ray Manley
- Title
- Chief Executive Officer
- Phone
- (480) 932-1804
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1023709912
- Entity type
- Organization
- NPI issued
- 19 May 2023
- Record last updated
- 28 May 2024
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.