Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCLAUGHLIN (BUSINESS MANAGER)
(610) 422-1463
Entity
Organization
Contact information
Practice address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
(215) 864-6666
Mailing address
3300 HENRY AVE, PHILADELPHIA, PA 19129-1141
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
Enumeration date
01/28/2019
Last updated
01/28/2019
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