institution
Premium Legacy Healthcare Inc
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1184327249

Premium Legacy Healthcare Inc is an Addiction (Substance Use Disorder) Counselor based in Scottsdale, AZ and is specialized in Addiction (Substance Use Disorder). Premium Legacy Healthcare Inc practices in Phoenix, AZ. The NPI Number for Premium Legacy Healthcare Inc is 1184327249 and holds a License No. (Arizona).

The current practice location address for Premium Legacy Healthcare Inc is 5062 N 19Th Ave Ste 102, Phoenix, AZ and can be reached out via phone at 773-319-6420.

Location: 5062 N 19Th Ave Ste 102, Phoenix, AZ, 85260-2803
institution
Provider Profile Details
NPI Number
1184327249
Provider Name
Premium Legacy Healthcare Inc
Credential
Provider Entity Type
Organization
Address
5062 N 19Th Ave Ste 102, Phoenix, AZ, 85260-2803
Phone Number
773-319-6420
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5062 N 19Th Ave Ste 102
City
State
Zip
85015-3225
Phone Number
773-319-6420
Fax Number
person
Provider Business Mailing Address Details
Address
5062 N 19Th Ave Ste 102
City
State
Zip
85015-3225
Phone Number
773-319-6420
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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