# DEVEREUX CIDDS DONOVAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEVEREUX FOUNDATION
- **Other names:** Devereux Foundation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073940177
- **Legal business name:** DEVEREUX FOUNDATION
- **Authorized official:** MS. FRAN WAGNER (NATIONAL DIRECTOR OF ACCOUNTS RECEI)
- **Authorized official phone:** (610) 542-3084

## Contact information

- **Practice address:** 390 E BOOT RD, 102 GENUARDI CIRCLE, WEST CHESTER, PA 19380-1222
- **Practice address phone:** (610) 431-8100
- **Mailing address:** 390 E BOOT RD, 102 GENUARDI CIRCLE, WEST CHESTER, PA 19380-1222
- **Mailing address phone:** (610) 431-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 132890 | PA | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000019130621 | — | PA |
| 05 | — | 1000019130725 | — | PA |