PREMIUM LEGACY HEALTHCARE INC

PHOENIX, AZ
NPI1184327249
Entity TypeOrganization
Authorized ContactONA EKHOMU
CEO
773-319-6420
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2023-03-27
Last Update Date2025-07-09
Business Address
PREMIUM LEGACY HEALTHCARE INC
5062 N 19TH AVE STE 102
PHOENIX, AZ 85015-3225
Phone number: 773-319-6420
Mailing Address
PREMIUM LEGACY HEALTHCARE INC
11234 N 129TH WAY
SCOTTSDALE, AZ 85259-4403
Phone number: 773-319-6420