Organization
LEGACY TREATMENT SERVICES
Active
Organization
LEGACY TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA OTA (ACTING CFO)
(609) 267-5656
Entity
Organization
Contact information
Practice address
5602 KIRKWOOD HIGHWAY, WILMINGTON, DE 19808
(609) 288-3126
(609) 265-1895
Mailing address
1289 ROUTE 38 WEST, SUITE #203, HAINESPORT, NJ 08036-2720
(609) 288-3126
(609) 265-1895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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