# DEVEREUX FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Devereux Advanced Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386162519
- **Authorized official:** MS. KELLY ANNE MCGHEE (QI DIRECTOR)
- **Authorized official phone:** (856) 599-6434

## Contact information

- **Practice address:** 286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
- **Practice address phone:** (856) 599-6400
- **Practice address fax:** (856) 599-6400
- **Mailing address:** 286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
- **Mailing address phone:** (856) 599-6400
- **Mailing address fax:** (856) 599-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 07/21/2022