Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Arizona - Respite E3
Organization subpart
No
Provider details
NPI number
Authorized official
LANE MARTIN-BARKER (EXECUTIVE DIRECTOR)
(602) 283-1753
Entity
Organization
Contact information
Practice address
6421 E EUGIE TER, SCOTTSDALE, AZ 85254-3963
(480) 634-2028
Mailing address
2025 N 3RD ST, #250, PHOENIX, AZ 85004-1471
(480) 889-0566
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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