UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC. (NPI# 1376944967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376944967 |
| Entity Type | Organization |
| Organization Name | UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC. |
| Other Organization Name | LEGACY TREATMENT SERVICES |
| Practice Address |
610 Pemberton Browns Mills Rd Pemberton NJ 08068-1537 |
| Mailing Address |
1289 Route 38 Suite #203 Hainesport NJ 08036-2730 |
| Practice Telephone | 6097267155 |
| Practice Fax Number | 6098948964 |
| Mailing Telephone | 6092883067 |
| Mailing Fax Number | 6092651895 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | BETTY GARRISON (CFO) |
| Authorized Official Telephone | 6092675656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Legacy Treatment Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063622 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 411 Smithburg Ct, Jackson, NJ 08527-4444 | 2014-08-14 |
| 1699184341 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 224 Whitesville Road, Toms River, NJ 08755-1041 | 2014-08-07 |
| 1902224561 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 1218 Delsea Dr, Franklinville, NJ 08322-2306 | 2014-04-01 |
| 1295153856 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 62 Claremont Rd, Franklin Park, NJ 08823-1246 | 2014-04-01 |
| 1861810434 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 72 Hawthorne Ave, East Orange, NJ 07018-4002 | 2014-04-01 |
| 1275951865 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 818 Edgewood Ave, Trenton, NJ 08618-5302 | 2014-04-01 |
| 1992123566 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 125 E Amwellbury Rd, Salem, NJ 08079-9409 | 2014-04-01 |
| 1598183147 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 1289 Route 38, Suite #202, Hainesport, NJ 08036-2730 | 2014-04-01 |
| 1235557893 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 155 South St, Eatontown, NJ 07724-1808 | 2014-04-01 |
| 1053739607 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 7 Glenwood Ave, Suite #400, East Orange, NJ 07017-1055 | 2014-04-01 |
| Street Address |
610 PEMBERTON BROWNS MILLS RD |
| City | PEMBERTON |
| State | NJ |
| Zip Code | 08068-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643500 | Phyllis Glenn Anderson | Nurse Practitioner | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2010-02-25 |
| 1710593579 | Jeana Ann Simko | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2020-09-17 |
| 1457851107 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2018-02-20 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1396128955 | Legacy Treatment Services | Clinic/Center | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-07-01 |
| 1881085637 | Legacy Treatment Services | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2015-02-16 |
| 1962800367 | Orin H Morrison Jr. | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-12-17 |
| 1790180438 | Kevin Ford | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-10-23 |
| 1881093920 | Union Assocation of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-08-14 |
| 1902180037 | The Kintock Group of New Jersey, Inc. | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998502 | Deena Gutch | Counselor | 610 Brownsmills Rd, Pemberton, NJ 08068 | 2016-08-28 |
| 1467738492 | Exceptional Kidz Rehabilitation | Counselor | 43 Elizabeth St, Pemberton, NJ 08068 | 2011-10-21 |
| 1972716603 | Ellen Christine Miller | Occupational Therapy Assistant | 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 | 2007-05-08 |
| 1720236631 | Renuka Maringanti | Dentist | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2008-09-04 |
| 1053453076 | Chitra Sarvotam | Dentist | 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 | 2007-02-13 |
| 1700182847 | E Estrella Wells | Student in an Organized Health Care Education/Training Program | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2011-02-08 |
| 1417339128 | Jamie Reuter | Behavioral Analyst | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2015-06-18 |
| 1710167614 | Stephen Alan Kloss | Pharmacist | 87 Hanover St, Pemberton, NJ 08068-1131 | 2007-11-07 |
| 1639291248 | Pemberton Township School District | Local Education Agency (LEA) | 1 Egbert St, Pemberton, NJ 08068-1211 | 2007-04-04 |
| 1851635791 | Aspired Living, Inc | Day Training, Developmentally Disabled Services | 43 Elizabeth St, Pemberton, NJ 08068-1215 | 2012-11-15 |
| Find all providers in zip 08068 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766375 | Grace Behavioral Health Services | Clinic/Center | 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | 2020-09-24 |
| 1881213783 | Operation Hope | Clinic/Center | 45 Cross Rd, Colts Neck, NJ 07722-1211 | 2020-04-10 |
| 1003441809 | Madison Counseling LLC | Clinic/Center | 333 Main St Ste 200, Madison, NJ 07940-2370 | 2020-03-12 |
| 1386108488 | On Your Mark Teen Counseling Center, LLC | Clinic/Center | 605 Valley Rd Ste 4, Upper Montclair, NJ 07043-1455 | 2019-01-23 |
| 1699247635 | Stanford Ctc Services, LLC | Clinic/Center | 141 S Black Horse Pike Ste 204, Blackwood, NJ 08012-2975 | 2018-12-31 |
| 1114496916 | Transformations Therapy Center LLC | Clinic/Center | 110 Hillside Ave Ste 301, Springfield, NJ 07081-3007 | 2018-11-21 |
| 1508345257 | Connect Counseling & Wellness, LLC | Clinic/Center | 155 County Rd Ste 14, Cresskill, NJ 07626-2200 | 2018-08-13 |
| 1730694688 | Comprehensive Behavioral Healthcare, Inc. | Clinic/Center | 187 Kearny Ave, Kearny, NJ 07032-2437 | 2017-12-13 |
| 1295258424 | Cnv Counseling Services LLC | Clinic/Center | 22 Coventry Dr, Freehold, NJ 07728-3164 | 2017-07-19 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.