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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
JOSEPH MCLAUGHLIN (BUSINESS MANAGER)
(610) 422-1463
Entity
Organization
Contact information
Practice address
100 DEERFIELD LN STE 100, MALVERN, PA 19355-2100
(610) 933-8110
(610) 933-7451
Mailing address
100 DEERFIELD LN STE 100, MALVERN, PA 19355-2100
(610) 933-8110
(610) 933-7451
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144630
—
PA
Enumeration date
04/30/2019
Last updated
03/31/2020
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