# DEVEREUX FOUNDATION

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

## Provider details

- **NPI number:** 1750022398
- **Authorized official:** JESSICA KALBACH (LEAD REIMBURSEMENT ANALYST)
- **Authorized official phone:** (610) 542-3042

## Contact information

- **Practice address:** 390 E BOOT RD, WEST CHESTER, PA 19380-1222
- **Practice address phone:** (610) 542-3042
- **Mailing address:** 2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
- **Mailing address phone:** (610) 542-3043

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100001913 | — | PA |