Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEGACY TREATMENT CENTER LLC
Active OrganizationLEGACY TREATMENT CENTER LLC is a Addiction Medicine (Family Practice) organization located in FORT WAYNE, Indiana. NPI 1336940717 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · FORT WAYNE, IN
Registration Details
- NPI Number
- 1336940717
- Provider Type
- Organization
- NPI Issued
- Mar 21, 2025 (1.4342929054284 yrs)
- Last Updated
- Dec 12, 2025
Practice Information
- Address
-
3030 LAKE AVE STE 24FORT WAYNE, IN, 468055428Browse IN providers · Browse ZIP 46805
- Phone
- 2607054587
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Other Addiction Medicine (Family Practice) Organizations in FORT WAYNE, IN
| Name | NPI |
|---|---|
| STELLHORN WELLNESS, LLC | 1215411020 |
| FRESH START RECOVERY GROUP LLC | 1023724861 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.