Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Halth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE CIRUCCI (DIRECTOR OF FINANCE)
(856) 599-6429
Entity
Organization
Contact information
Practice address
238 LONGHOUSE DR, HEWITT, NJ 07421-3730
(856) 599-6400
Mailing address
286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399507
—
NJ
Enumeration date
05/29/2019
Last updated
05/29/2019
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