Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MCNEILL (ASSISTANT FIANCE DIRECTOR)
(856) 599-6230
Entity
Organization
Contact information
Practice address
1601 - 1603 SICKLERVILLE ROAD, SICKLERVILLE, NJ 08081
(856) 599-6400
Mailing address
286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399507
—
NJ
Enumeration date
08/09/2018
Last updated
09/06/2018
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