Organization
THE DEVEREUX FOUNDATION
Active
Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Whitlock Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN WAGNER (NATIONAL ACCTS RECEIVABLE DIRECTOR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 296-6800
(610) 251-2013
Mailing address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 296-6800
(610) 251-2013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
102780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130415
—
PA
Enumeration date
02/08/2007
Last updated
08/22/2020
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