OrganizationActive
Legacy Treatment Center
NPI 1700289642 · Substance Abuse Rehabilitation Facility · Raleigh, NC
Provider details
- NPI number
- 1700289642
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Legacy Treatment Center
- Organization subpart
- Yes
- Authorized official
- Brad Wilkerson, Ceo(954) 560-5238
- License
- MHL-060-1265 (NC)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3824 Barrett Dr
Suite 310
Raleigh, NC 27609-7220
Phone: (954) 560-5238
Fax: (888) 510-9071
Approximate (ZIP-level) locationGet directions
Mailing address
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Registry dates
- Enumerated
- 2014-10-07
- Last updated
- 2014-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.