Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Advanced Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MCDONALD (DIRECTOR OF FINANCE)
(856) 599-6400
Entity
Organization
Contact information
Practice address
1667 E LANDIS AVE STE B, VINELAND, NJ 08361-2942
(856) 599-4000
Mailing address
1515 BURNT MILL RD, CHERRY HILL, NJ 08003-3637
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399507
—
NJ
Enumeration date
11/29/2021
Last updated
11/29/2021
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