NPI 1043924632

New Legacy Treatment Center LLC

Organisation Substance Abuse Rehabilitation Facility Phoenix, AZ

Practice location

Address: 3420 N 27th Ave, Phoenix, AZ 85017-5013
Phone: (319) 202-2573

Authorised official

Name: Aimable Seba Byishimo
Title: Cao
Phone: (319) 202-2573

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Arizona →

Registry record

NPI: 1043924632
Entity type: Organization
NPI issued: 9 Jan 2023
Record last updated: 9 Jan 2023

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.