| Organization Name: | LEGACY BEHAVIORAL HEALTH CENTER INC |
| NPI Number: | 1568439685 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALICIA B. PAJARES (PRESIDENT) |
| Mailing Address: | 15818 Sw Warfield Blvd Indiantown |
| State: | FL US |
| Postal Code: | 349563513 |
| Phone Number: | 7725970411 |
| Fax Number: | 7725970412 |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW5271 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |