| NPI | 1760276331 |
|---|---|
| Doing Business As | LEGACY |
| Entity Type | Organization |
| Authorized Contact | TORONDO VAUGHN Owner/ Administrator 334-398-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |