Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCLAUGHLIN (BUSINESS MANAGER)
(610) 933-8110
Entity
Organization
Contact information
Practice address
1200 GAY ST, PHOENIXVILLE, PA 19460-4475
(610) 933-8110
(610) 933-7451
Mailing address
1041 W BRIDGE ST, PHOENIXVILLE, PA 19460-4342
(610) 933-8110
(610) 933-7451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
102780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
Enumeration date
10/01/2010
Last updated
10/01/2010
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