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 |