Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux NJ
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN WAGNER (NATIONAL DIRECTOR AR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
286 MANTUA GROVE RD, BUILDING 4, WEST DEPTFORD, NJ 08066-1738
(856) 599-6400
(856) 599-6401
Mailing address
286 MANTUA GROVE RD, BUILDING 4, WEST DEPTFORD, NJ 08066-1738
(856) 599-6400
(856) 599-6401
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203246
—
NJ
Enumeration date
10/22/2009
Last updated
10/22/2009
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