LEGACY TREATMENT LLC
NPI 1841765393
Substance Abuse Rehabilitation Facility in Jessup, MD

Active since October 11, 2018
8610 WASHINGTON BLVD, JESSUP, MD 20794(410) 824-8149(410) 824-8371 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Treatment Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY TREATMENT LLC (NPI 1841765393) is a healthcare organization registered as a substance abuse rehabilitation facility in Jessup, Maryland and active in the NPI registry since October 2018. The organization lists Lloyd A Wynn, Coo, as its authorized official.

NPPES Registry Identity

NPI1841765393
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGACY TREATMENT LLC
Location Address8610 WASHINGTON BLVDJessup, MD 20794-9499
Mailing Address8610 Washington Blvd Ste 200Jessup, MD 20794-9499 · (410) 824-8149 · Fax (410) 824-8371
Fax(410) 824-8371
Organization SubpartYes
Authorized OfficialLloyd A WynnCoo · (973) 558-8514
Enumeration DateOctober 11, 2018
NPI 1841765393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
8610 WASHINGTON BLVD, Jessup, MD 20794

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
8610 WASHINGTON BLVD
JESSUP, MD 20794
Physical Therapist
8610 WASHINGTON BLVD
JESSUP, MD 20794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Treatment LLC's NPI number?

The NPI number for Legacy Treatment LLC is 1841765393. It was assigned to this organization in the NPPES registry on October 11, 2018.

Where is Legacy Treatment LLC located?

Legacy Treatment LLC is located at 8610 Washington Blvd, Jessup, MD 20794. The listed phone number is (410) 824-8149.

What is Legacy Treatment LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Legacy Treatment LLC was last updated on October 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.