| Children's Legacy Center | |
|
2250 Benton Dr Redding CA 96003-5350 | |
| (530) 244-0117 | |
| Not Available |
| Full Name | Children's Legacy Center |
|---|---|
| Speciality | Case Management |
| Location | 2250 Benton Dr, Redding, California |
| Authorized Official Name and Position | Elizabeth Schroeder (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5302320535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Legacy Center 1095 Hilltop Dr # 369 Redding CA 96003-3811 Ph: (530) 768-1880 | Children's Legacy Center 2250 Benton Dr Redding CA 96003-5350 Ph: (530) 244-0117 |
| NPI Number | 1316724180 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316724180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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