OrganizationActive
Legacy Treatment Serivces, Inc.
NPI 1083112155 · Psychiatric Residential Treatment Facility · Jackson, NJ
Provider details
- NPI number
- 1083112155
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ronald Davis, Billing Manager(609) 267-5656
Specialties & taxonomies
Residential Treatment Facilities
Practice location
411 Smithburg Ct
Jackson, NJ 08527-4444
Phone: (609) 267-5656
Approximate (ZIP-level) locationGet directions
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.