Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MCKEEVER (NATIONAL DIRECTOR AR AND CONTRACTS)
(610) 542-3064
Entity
Organization
Contact information
Practice address
1325 SHIP RD, WEST CHESTER, PA 19380-1335
(610) 431-8100
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3064
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
—
1000019130857
—
PA
Enumeration date
06/08/2019
Last updated
06/08/2019
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