Organization
THE DEVEREUX FOUNDATION
Active
Other names
Brandywine RTF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN WAGNER (NATIONAL DIRECTOR AR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
160 DEVEREUX RD, GLENMOORE, PA 19343-1615
(610) 942-5900
(610) 942-5979
Mailing address
PO BOX 69, GLENMOORE, PA 19343-0069
(610) 942-5900
(610) 942-5979
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
1160
NJ
323P00000X
Psychiatric Residential Treatment Facility
Primary
181910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002464001
—
WV
05
—
019198100
—
DC
05
—
1000019130404
—
PA
05
—
196055500
—
MD
05
—
8385505
—
NJ
Enumeration date
12/15/2006
Last updated
02/23/2021
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