Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KALBACH (LEAD REIMBURSEMENT ANALYST)
(610) 542-3042
Entity
Organization
Contact information
Practice address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
(610) 542-3042
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3043
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
Enumeration date
04/06/2022
Last updated
04/06/2022
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