Legacy Treatment LLC

NPI #1841765393 in Jessup, Maryland

Provider Information

NPI Number
1841765393
Entity Type
Organization
Organization Name
Legacy Treatment LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LEGACY TREATMENT LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Oct 11, 2018
Last Updated
Oct 11, 2018

Practice Location

Address
8610 WASHINGTON BLVD
City
Jessup
ZIP Code
20794-9499
Phone
(410) 824-8149

Authorized Official

Name
LLOYD A WYNN
Title
COO
Phone
(973) 558-8514

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Substance Abuse Rehabilitation Facility

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