Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYLES (NATIONAL DIRECTOR OF AR)
(267) 637-4536
Entity
Organization
Contact information
Practice address
81 SABBADAY LN, WASHINGTON, CT 06793-1318
(484) 803-9292
Mailing address
81 SABBADAY LN, WASHINGTON, CT 06793-1318
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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