# THE DEVEREUX FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PA CIDDS-Goldsmith
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982027124
- **Authorized official:** CATHERINE R DRY J.D. (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (610) 542-3074

## Contact information

- **Practice address:** 390 E BOOT RD, 100 GENUARDI CIRCLE, WEST CHESTER, PA 19380-1222
- **Practice address phone:** (610) 431-8191
- **Mailing address:** PO BOX 490A, VILLANOVA, PA 19085-0290
- **Mailing address phone:** (610) 542-3074
- **Mailing address fax:** (610) 542-3140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 132870 | PA | Yes |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 01/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000019130715 | — | PA |