Organization
DEVEREUX CLEO WALLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MCKEEVER (NATL DIRECTOR ACCOUNTS RECEIVABLE)
(610) 542-3064
Entity
Organization
Contact information
Practice address
8405 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-3918
(800) 456-2536
Mailing address
8405 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-3918
(800) 456-2536
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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