NPI 1053758102

Legacy Treatment Center

Organisation Substance Abuse Rehabilitation Facility Charlotte, NC

Practice location

Address: 4421 Stuart Andrew Blvd Suite 608, Charlotte, NC 28217-1589
Phone: (561) 715-9288

Authorised official

Name: Angela Iacullo
Title: Billing Director
Phone: (561) 715-9288

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in North Carolina →

Registry record

NPI: 1053758102
Entity type: Organization
NPI issued: 30 May 2013
Record last updated: 11 Jul 2013

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.