Legacy Healing Detox, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LEGACY HEALING DETOX, LLC

Practice address

803 NW 2ND Ave
Pompano Beach, FL 33060-5604

Phone

(561) 308-0865

NPI assigned

Jan 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Massiel Effron, B.A

Title

Ceo

Phone

(954) 512-7792

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1831662352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NW 2ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605604",
            "telephone_number": "561-308-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NW 2ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605604",
            "telephone_number": "561-308-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALING DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "EFFRON",
        "authorized_official_first_name": "MASSIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-512-7792",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.