Organization
DEVEREUX FOUNDATION
Active
Parent organization
DEVEREUX FOUNDATION
Other names
Pima AIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVEREUX FOUNDATION
Authorized official
MS. LANE BARKER LMFT (EXECUTIVE DIRECTOR)
(602) 283-1573
Entity
Organization
Contact information
Practice address
2502 N DODGE BLVD, SUITE 120, TUCSON, AZ 85716-2671
(520) 296-5551
Mailing address
11000 N SCOTTSDALE RD, SUITE 260, SCOTTSDALE, AZ 85254-6130
(602) 283-1573
(480) 443-5587
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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