Organization
DEVEREUX FOUNDATION
Active
Parent organization
DEVEREUX FOUNDATION
Other names
Devereux Texas Treatment Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVEREUX FOUNDATION
Authorized official
MS. PAMELA E. HELM (EXECUTIVE DIRECTOR)
(281) 335-1000
Entity
Organization
Contact information
Practice address
120 DAVID WADE DRIVE, VICTORIA, TX 77905
(361) 575-8271
(361) 575-6520
Mailing address
PO BOX 2666, VICTORIA, TX 77902-2666
(361) 575-8271
(361) 575-6520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
5460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112748201
—
TX
05
—
112748202
—
TX
Enumeration date
10/19/2006
Last updated
07/14/2009
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