New Legacy Recovery LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Lexington, KY
NPI 1477062487 · NPPES record last updated Sep 22, 2017
Key facts
- NPI
- 1477062487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 810588 (KY)
- Legal business name
- NEW LEGACY RECOVERY LLC
- Practice address
- 1510 Newtown Pike Ste 120
Lexington, KY 40511-1255 - Phone
- (859) 618-6800
- Fax
- (949) 315-3013
- NPI assigned
- Sep 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Stacey Flynn
- Title
- Insurance Director
- Phone
- (949) 419-5700
National Provider Directory
Locations
1510 Newtown Pike
Ste 120
Lexington, KY 40511
Phone (859) 618-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 810588 | KY | Yes |
Addresses
Primary practice location
1510 Newtown Pike Ste 120
Lexington, KY 40511-1255
Mailing address
PO Box 12295
Lexington, KY 40582-2295
Phone (859) 618-6800
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All providers in Lexington, KY · Substance Use Disorder Rehabilitation Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.