# DEVEREUX FOUNDATION

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

## Provider details

- **NPI number:** 1639656705
- **Authorized official:** PAUL MCNEILL (ASSISTANT FINANCE DIRECTOR)
- **Authorized official phone:** (856) 599-6230

## Contact information

- **Practice address:** 124 WERTSVILLE RD, HILLSBOROUGH, NJ 08844-3908
- **Practice address phone:** (856) 599-6400
- **Mailing address:** 286 MANTUA GROVE RD BLDG 4, WEST DEPTFORD, NJ 08066-1738
- **Mailing address phone:** (856) 599-6400
- **Mailing address fax:** (856) 599-6406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | GH0970 | NJ | Yes |

## Other

- **Enumeration date:** 07/23/2018
- **Last updated:** 07/23/2018