NPI 1003314170

Legacy Treatment Serivces, INC.

Organisation Psychiatric Residential Treatment Facility East Orange, NJ

Practice location

Address: 72 Hawthorne Ave, East Orange, NJ 07018-4002
Phone: (609) 267-5656
Mailing address: 1289 Route 38 STE 203, Hainesport, NJ 08036-2730

Authorised official

Name: Ronald Davis
Title: Billing Manager
Phone: (609) 267-5656

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in New Jersey →

Registry record

NPI: 1003314170
Entity type: Organization
NPI issued: 24 Jan 2018
Record last updated: 24 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.