| Legacy Healing North Jersey Llc | |
|
300 Littleton Rd Ste 200 Parsippany NJ 07054-4841 | |
| (561) 308-0865 | |
| Not Available |
| Full Name | Legacy Healing North Jersey Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 300 Littleton Rd Ste 200, Parsippany, 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 North Jersey Llc 1425 W Cypress Creek Rd Ste 200&201 Fort Lauderdale FL 33309-1916 Ph: (561) 308-0865 | Legacy Healing North Jersey Llc 300 Littleton Rd Ste 200 Parsippany NJ 07054-4841 Ph: (561) 308-0865 |
| NPI Number | 1255037487 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255037487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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