Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BECKER (EXECUTIVE DIRECTOR)
(407) 362-9212
Entity
Organization
Contact information
Practice address
8000 DEVEREUX DR, VIERA, FL 32940-7907
(407) 362-9210
Mailing address
5850 T G LEE BLVD, SUITE 400, ORLANDO, FL 32822-4407
(407) 362-9212
(407) 856-3781
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133914
—
NJ
Enumeration date
09/15/2008
Last updated
09/15/2008
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