Graduated: 1999
NPI: 1598968448
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
7360 55TH AVE E
BRADENTON, FL 342038000
9412166535
RESPONSE THERAPY SERVICES INCORPORATED
1575 N LOCKWOOD RIDGE RD
SARASOTA, FL 342373218
9413668683
Source: CMS National Downloadable File, September 2026.