Graduated: 2019
Offers telehealth
NPI: 1497308852
Practice Locations (3)
LEGACY TREATMENT CENTER LLC
3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 468055428
26020131192011
BOULDER CARE PROVIDER GROUP PA
106 LANGTREE VILLAGE DR, SUITE 301
MOORESVILLE, NC 281177594
8882884715
BOULDER CARE PROVIDER GROUP PA
20046 WALKER RD, SUITE 7
SHAKER HEIGHTS, OH 441223645
5032085061
Source: CMS National Downloadable File, September 2026.