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Organization
DEVEREUX FOUNDATION
Active
Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MCNEILL (ASSISTANT FINANCE DIRECTOR)
(856) 599-6230
Entity
Organization
Contact information
Practice address
124 WERTSVILLE RD, HILLSBOROUGH, NJ 08844-3908
(856) 599-6400
Mailing address
286 MANTUA GROVE RD BLDG 4, WEST DEPTFORD, NJ 08066-1738
(856) 599-6400
(856) 599-6406
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
GH0970
NJ
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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