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LEGACY VALLEY ADDICTION TREATMENT
NPI 1366240301
Clinic/Center - Mental Health (Including Community Mental Health Center) in Victorville, CA

Active since March 05, 2025
16519 VICTOR ST STE 302, VICTORVILLE, CA 92395(760) 305-9677 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Valley Addiction Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY VALLEY ADDICTION TREATMENT (NPI 1366240301) is a healthcare organization registered as a mental health (including community mental health center) in Victorville, California and active in the NPI registry since March 2025. The organization lists Angela L Abbott, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366240301
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLEGACY VALLEY ADDICTION TREATMENT
Location Address16519 VICTOR ST STE 302Victorville, CA 92395-3967
Mailing Address12654 Seventh AveVictorville, CA 92395-9577 · (760) 912-5553
Phone(760) 305-9677
Organization SubpartNo
Authorized OfficialAngela L AbbottChief Executive Officer · (760) 912-5553
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1366240301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
16519 VICTOR ST STE 302, Victorville, CA 92395
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROTHERS HOSPICE AND PALLIATIVE CARE, INC.
Hospice Care, Community Based
16519 VICTOR ST STE 302
VICTORVILLE, CA 92395
San Bernardino County (310) 941-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Valley Addiction Treatment's NPI number?

The NPI number for Legacy Valley Addiction Treatment is 1366240301. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Legacy Valley Addiction Treatment located?

Legacy Valley Addiction Treatment is located at 16519 Victor St Ste 302, Victorville, CA 92395. The listed phone number is (760) 305-9677.

What is Legacy Valley Addiction Treatment's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Legacy Valley Addiction Treatment was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.