Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Arizona - CFS Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
LANE MARTIN-BARKER (EXECUTIVE DIRECTOR)
(602) 283-1573
Entity
Organization
Contact information
Practice address
1837 S MESA DR, #A-201, MESA, AZ 85210-6246
(602) 283-1573
Mailing address
2025 N 3RD ST, #250, PHOENIX, AZ 85004-1471
(480) 889-0566
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
03/10/2017
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