| NPI | 1154857472 | 
|---|---|
| Doing Business As | LEGACY TREATMENT SERVICES INC | 
| Entity Type | Organization | 
| Authorized Contact | MELINDA OTA Acting CFO 609-267-5656  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2017-05-05 | 
| Last Update Date | 2017-05-05 |