# THE DEVEREUX FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730243650
- **Authorized official:** MICHAEL C BECKER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 812-4555

## Contact information

- **Practice address:** 3880 SOUTH WASHINGTON AVENUE, TITUSVILLE, FL 32780
- **Practice address phone:** (321) 264-4062
- **Mailing address:** 5850 TG LEE BOULEVARD, SUITE 400, ORLANDO, FL 32822
- **Mailing address phone:** (407) 812-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/22/2020