Organization
LEGACY TREATMENT LLC
Active
Parent organization
LEGACY TREATMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY TREATMENT LLC
Authorized official
LLOYD A WYNN (COO)
(973) 558-8514
Entity
Organization
Contact information
Practice address
1438 LIBERTY RD, SYKESVILLE, MD 21784
(443) 609-4302
(443) 609-4625
Mailing address
1438 LIBERTY RD, SYKESVILLE, MD 21784-6493
(443) 609-4602
(443) 609-4625
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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