OrganizationActive
Legacy Treatment Serivces, Inc.
NPI 1003314170 · Psychiatric Residential Treatment Facility · East Orange, NJ
Provider details
- NPI number
- 1003314170
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Ronald Davis, Billing Manager
Mailing address
1289 Route 38 Ste 203
Hainesport, NJ 08036-2730
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2018-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.