| Organization Name: | LEGACY TREATMENT SERIVCES, INC. |
| NPI Number: | 1679970222 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY GARRISON (CFO) |
| Mailing Address: | 1289 Route 38 Suite #203 Hainesport |
| State: | NJ US |
| Postal Code: | 080362730 |
| Phone Number: | 6092883067 |
| Fax Number: | 6092651895 |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |