| NPI | 1265250393 |
|---|---|
| Other Name | NEW LEGACY |
| Entity Type | Organization |
| Authorized Contact | GISELA DINESE NELSON Executive Director 502-276-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |