| Legacy Treatment Services Inc | |
|
1012 College Rd Suite 101 Dover DE 19904-6506 | |
| (609) 288-5656 | |
| Not Available |
| Full Name | Legacy Treatment Services Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1012 College Rd, Dover, Delaware |
| Authorized Official Name and Position | Melinda Ota (ACTING CFO) |
| Authorized Official Contact | 6092675656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Treatment Services Inc 1289 Route 38 Ste 203 Hainesport NJ 08036-2730 Ph: (609) 288-5656 | Legacy Treatment Services Inc 1012 College Rd Suite 101 Dover DE 19904-6506 Ph: (609) 288-5656 |
| NPI Number | 1154857472 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154857472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New Jersey) | Primary |
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