Provider First Line Business Practice Location Address:
LEGACY TREATMENT SERVICES
Provider Second Line Business Practice Location Address:
561 TILTON ROAD
Provider Business Practice Location Address City Name:
NORTHFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-667-7507
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2019