Organization
LEGACY HEALING AND TREATMENT NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS GONZALEZ (DIRECTOR OF OPERATIONS)
(561) 308-0865
Entity
Organization
Contact information
Practice address
800 KINGS HWY N STE 100, CHERRY HILL, NJ 08034-1585
(609) 267-5656
Mailing address
2960 N STATE ROAD 7 STE 101, MARGATE, FL 33063-5756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/23/2021
Last updated
03/26/2021
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