OrganizationActive
Legacy Recovery
NPI 1003167446 · Mental Illness Community Based Residential Treatment Facility · Baton Rouge, LA
Provider details
- NPI number
- 1003167446
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Adell Ellis, Executive Director(225) 300-8091
- License
- 507 (LA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
168 W Washington St
Baton Rouge, LA 70802-7655
Phone: (225) 300-8091
Fax: (225) 302-7462
Approximate (ZIP-level) locationGet directions
Mailing address
168 W Washington St
Baton Rouge, LA 70802-7655
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.