| Legacy Healing And Treatment New Jersey Llc | |
|
800 Kings Hwy N Ste 100 Cherry Hill NJ 08034-1585 | |
| (609) 267-5656 | |
| Not Available |
| Full Name | Legacy Healing And Treatment New Jersey Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 Kings Hwy N Ste 100, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Damaris Gonzalez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5613080865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Healing And Treatment New Jersey Llc 2960 N State Road 7 Ste 101 Margate FL 33063-5756 Ph: () - | Legacy Healing And Treatment New Jersey Llc 800 Kings Hwy N Ste 100 Cherry Hill NJ 08034-1585 Ph: (609) 267-5656 |
| NPI Number | 1417588203 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417588203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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