Provider Demographics
NPI:1619761178
Name:LEGENDS RECOVERY INC.
Entity type:Organization
Organization Name:LEGENDS RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:747-273-6686
Mailing Address - Street 1:2814 CALMGARDEN RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:CA
Mailing Address - Zip Code:93510-2113
Mailing Address - Country:US
Mailing Address - Phone:747-273-6686
Mailing Address - Fax:
Practice Address - Street 1:2814 CALMGARDEN RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:CA
Practice Address - Zip Code:93510-2113
Practice Address - Country:US
Practice Address - Phone:747-273-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder