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Organization

THE DEVEREUX FOUNDATION

Active
Parent organization
THE DEVEREUX FOUNDATION
Other names
Devereux Texas Treatment Network
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE DEVEREUX FOUNDATION
Authorized official
MS. PAMELA E. HELM (EXECUTIVE DIRECTOR)
(281) 335-1000
Entity
Organization

Contact information

Practice address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 335-1000
(281) 554-7447
Mailing address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573-2043
(281) 335-1000
(281) 554-7447

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
000718
TX
283Q00000X
Psychiatric Hospital
Primary
000718
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0212144
TX
01
1235212895
INITIAL NPI FOR RESIDENTIAL
TX
01
454085
MEDICARE PTAN
TX
Enumeration date
10/02/2014
Last updated
10/02/2014
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