OrganizationActive
Legacy Treatment LLC
NPI 1891373619 · Substance Use Disorder Rehabilitation Clinic/Center · Madison, TN
Provider details
- NPI number
- 1891373619
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nichole Mason, Director of Operations(615) 986-1615
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
109 Cude Ln
Madison, TN 37115-2201
Phone: (615) 986-1615
Approximate (ZIP-level) locationGet directions
Mailing address
109 Cude Ln
Madison, TN 37115-2201
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.