Organization
DEVEREUX ADVANCED BEHAVIORAL HEALTH
Active
Other names
Brook II
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KALBACH (CONTRACTS MANAGER)
(610) 542-3042
Entity
Organization
Contact information
Practice address
160 DEVEREUX RD, GLENMOORE, PA 19343-1615
(484) 595-6778
Mailing address
160 DEVEREUX RD, GLENMOORE, PA 19343-1615
(484) 595-6778
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
01
—
148180
LICENSE
PA
Enumeration date
04/08/2022
Last updated
04/08/2022
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