Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANNE MCGHEE (QI DIRECTOR)
(856) 599-6434
Entity
Organization
Contact information
Practice address
233 SHAWS MILL RD, CEDARVILLE, NJ 08311-2626
(856) 599-6400
(856) 599-6404
Mailing address
286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
(856) 599-6434
(856) 599-6404
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399507
—
NJ
Enumeration date
09/27/2017
Last updated
09/27/2017
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