Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lee Legacy Group LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1023709912

Lee Legacy Group LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1802 E Vineyard Rd
Phoenix, AZ 85042-5704
Phone: (480) 932-1804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1023709912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tremeal Manley — Chief Executive Officer · (480) 932-1804
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address1802 E Vineyard Rd, Phoenix, AZ 85042-5704

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