Provider Type Icon

LEGACY TREATMENT SERVICES NPI 1396128955


NPI Information

NPI: 1396128955
Provider Name: LEGACY TREATMENT SERVICES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ
ZIP 08068
Phone: (609) 288-3067
Get Directions

LEGACY TREATMENT SERVICES is a clinic center in Pemberton, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LEGACY TREATMENT SERVICES NPI is 1396128955. The provider is registered as an organization entity type.

The provider's business location address is:

610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ
ZIP 08068-537
Phone: (609) 288-3067
Fax: (609) 265-1895

The provider's authorized official is Betty Garrison .
The authorized official title is Cfo and has the following contact phone number (609) 288-3067.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.