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1013655034
LEGACY TREATMENT CENTER LLC
PHOENIX, AZ
NPI
1013655034
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Entity Type
Organization
Authorized Contact
ENRIC JOHN BALORIA
Owner
623-455-1194
Organization Subpart ?
No
Primary Taxonomy
261QR0800X Clinic/Center, Recovery Care
Enumeration Date
2022-05-20
Last Update Date
2022-08-29
Business Address
LEGACY TREATMENT CENTER LLC
2720 E THOMAS RD SUITE C150
PHOENIX, AZ 85016
Phone number: 623-455-1194
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Mailing Address
LEGACY TREATMENT CENTER LLC
2720 E THOMAS RD SUITE C150
PHOENIX, AZ 85016
Phone number: 623-455-1194
Copy
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