Organization
LEGACY HEALING NORTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAMARIS GONZALEZ (DIRECTOR OF OPERATIONS)
(561) 308-0865
Entity
Organization
Contact information
Practice address
300 LITTLETON RD STE 200, PARSIPPANY, NJ 07054-4841
(561) 308-0865
Mailing address
1425 W CYPRESS CREEK RD STE 200&201, FORT LAUDERDALE, FL 33309-1916
(561) 308-0865
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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