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Organization

DEVEREUX NJ REACH TREATMENT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRAN WAGNER (NATIONAL DIRECTOR, A/R)
(610) 542-3084
Entity
Organization

Contact information

Practice address
4251 ROUTE 9 N, FREEHOLD, NJ 07728-8303
(732) 625-9600
(610) 542-3191
Mailing address
4251 ROUTE 9 N, FREEHOLD, NJ 07728-8303
(732) 625-9600
(610) 542-3191

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119873
NJ
Enumeration date
10/09/2007
Last updated
10/09/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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