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Organization

DEVEREUX FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LANE MARTIN-BARKER (EXECUTIVE DIRECTOR)
(602) 283-1573
Entity
Organization

Contact information

Practice address
11024 N 28TH DR STE 110, PHOENIX, AZ 85029-4378
(602) 944-6222
Mailing address
2025 N 3RD ST STE 250, PHOENIX, AZ 85004-1472
(480) 443-5590

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/23/2018
Last updated
10/23/2018
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