| 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 Community/Behavioral Health (Licence: CA Pending) |
| 251S00000X Community/Behavioral Health | |
| 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 |