Organization
THE 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
199 EDGEWOOD AVE, WEST BERLIN, NJ 08091-2605
(856) 599-6400
Mailing address
286 MANTUA GROVE RD, WEST DEPTFORD, NJ 08066-1738
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
03/01/2021
Last updated
03/01/2021
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