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Organization
DEVEREUX ADVANCED BEHAVIORAL HEALTH
Active
Organization
DEVEREUX ADVANCED BEHAVIORAL HEALTH
Active
Other names
Brook II
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KALBACH (CONTRACTS MANAGER)
(610) 542-3042
Entity
Organization
Contact information
Practice address
160 DEVEREUX RD, GLENMOORE, PA 19343-1615
(484) 595-6778
Mailing address
160 DEVEREUX RD, GLENMOORE, PA 19343-1615
(484) 595-6778
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
01
—
148180
LICENSE
PA
Enumeration date
04/08/2022
Last updated
04/08/2022
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