Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE CIRUCCI (DIRECTOR OF FINANCE)
(856) 599-6429
Entity
Organization
Contact information
Practice address
55 MILL STREET, NEWTON, NJ 07860
(856) 599-6400
(856) 599-6404
Mailing address
286 MANTUA GROVE RD BLDG 4, WEST DEPTFORD, NJ 08066-1738
(856) 599-6400
(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
08/10/2015
Last updated
07/21/2022
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