Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE JACKSON (EXECUTIVE DIRECTOR)
(480) 889-0558
Entity
Organization
Contact information
Practice address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 896-3106
Mailing address
6141 E GRANT RD BLDG A, TUCSON, AZ 85712-5829
(480) 998-2920
(480) 443-5587
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LC-003(8-01)
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
729634
AHCCCS ID
AZ
Enumeration date
10/02/2006
Last updated
02/13/2026
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