# DEVEREUX FOUNDATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Devereux Florida - Titusville RGC Cottage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942702519
- **Authorized official:** MS. GWEN SKINNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (407) 362-9210

## Contact information

- **Practice address:** 1135 DAY ST, TITUSVILLE, FL 32780-2641
- **Practice address phone:** (407) 362-9210
- **Mailing address:** 5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
- **Mailing address phone:** (407) 362-9210
- **Mailing address fax:** (610) 542-3191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 03/29/2018