| NPI | 1780987099 |
|---|---|
| Doing Business As | LEGION CLINIC |
| Entity Type | Organization |
| Authorized Contact | LYNN MADDEN President/ CEO 203-781-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CT 0230) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2017-02-21 |