OrganizationActive
Legacy Treatment Center
NPI 1053758102 · Substance Abuse Rehabilitation Facility · Charlotte, NC
Provider details
- NPI number
- 1053758102
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Angela Iacullo, Billing Director
Practice location
4421 Stuart Andrew Blvd
Suite 608
Charlotte, NC 28217-1589
Phone: (561) 715-9288
Mailing address
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2013-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.