Organization
LEGACY TREATMENT SERIVCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD DAVIS (BILLING MANAGER)
(609) 267-5656
Entity
Organization
Contact information
Practice address
72 HAWTHORNE AVE, EAST ORANGE, NJ 07018-4002
(609) 267-5656
Mailing address
1289 ROUTE 38 STE 203, HAINESPORT, NJ 08036-2730
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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