Organization
LEGACY TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY GARRISON (CFO)
(609) 288-3067
Entity
Organization
Contact information
Practice address
243 PINE STREET, MOUNT HOLLY, NJ 08060
(609) 288-3067
(609) 267-1895
Mailing address
1289 ROUTE 38 WEST, SUITE #203, HAINESPORT, NJ 08036-2720
(609) 288-3067
(609) 265-1895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020559
0020559
NJ
Enumeration date
09/11/2015
Last updated
10/28/2015
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