NPIMap

Organization Active NPI

Union Association of the Children's Home of Burlington County, Inc.

Doing business as Legacy Treatment Services

  • Adolescent and Children Mental Health Clinic/Center
  • Pemberton, NJ
National Provider Identifier
1376944967
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.
Doing business as
Legacy Treatment Services
Practice address
610 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone
(609) 726-7155
Fax
(609) 894-8964
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betty Garrison
Title
Cfo
Phone
(609) 267-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NJ Primary

Addresses

Primary practice location

610 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537

Mailing address

1289 Route 38
Suite #203
Hainesport, NJ 08036-2730
Phone (609) 288-3067

Other names 1

  • Legacy Treatment Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Union Association of the Children's Home116 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

610 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 321-6263

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1376944967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "address_2": "SUITE #203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730",
            "telephone_number": "609-288-3067",
            "fax_number": "609-265-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681537",
            "telephone_number": "609-726-7155",
            "fax_number": "609-894-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-267-5656"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.