NPI | 1225659956 |
---|---|
Other Name | LEGENDS, LLC |
Entity Type | Organization |
Authorized Contact | ROSE L DODGE Adminstrator/Owner 319-952-3499 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-05-05 |
Last Update Date | 2020-05-15 |