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Organization
DEVEREUX FOUNDATION, INC.
Active
Organization
DEVEREUX FOUNDATION, INC.
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MCKEEVER (NATIONAL DIRECT OF AR)
(610) 542-3064
Entity
Organization
Contact information
Practice address
3550 N GOLDENROD RD STE 1, WINTER PARK, FL 32792-8823
(321) 441-1030
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
(407) 362-9210
(866) 440-0613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029573624
—
FL
Enumeration date
10/25/2021
Last updated
07/13/2022
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