NPI | 1073710471 |
---|---|
Doing Business As | LEGACY FAMILY SERVICES |
Entity Type | Organization |
Authorized Contact | MARTIN ALLEN HANSEN President/CEO 661-861-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 150039) |
Additional Taxonomies | 251S00000X (Licence: CA Pending) |
251S00000X | |
253J00000X Foster Care Agency | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2023-02-01 |