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NPI Code Detail

MEDICARE: LEGACY TREATMENT SERVICES

MEDICARE: LEGACY TREATMENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1871448084
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY TREATMENT SERVICES
Provider Business Mailing Address
First Line : 1289 ROUTE 38 STE 203
Second Line :
City : HAINESPORT
State : NJ
Zip : 08036-2730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 E STOW RD
Second Line :
City : MARLTON
State : NJ
Zip : 08053-3118
Country : US
Telephone Number : 800-433-7365
Fax Number :
Authorized Official
Title or Position : VP OF ADMINISTRATION
Name : MARY E ANGELINI
Credential :
Telephone Number : 215-750-4244
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “LEGACY TREATMENT SERVICES ” Practice Location

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