Legacy Treatment Service, Inc.

NPI #1790182343 in Hainesport, New Jersey

Provider Information

NPI Number: 1790182343
Entity Type: Organization
Organization Name: Legacy Treatment Service, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 25, 2014
Last Updated: Nov 25, 2014

Practice Location

Address: 1289 ROUTE 38
Address 2: SUITE #203
City: Hainesport
State: New Jersey
ZIP Code: 08036-2730
Phone: (609) 288-3067

Authorized Official

Name: BETTY GARRISON
Title: CFO
Phone: (609) 267-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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