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The Devereux Foundation

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pennington, NJ. Organization (NPI-2).

NPI number1124553409
StatusActive
Last updated in NPPESApr 25, 2017

Details

NPI
1124553409
Entity type
Organization (NPI-2)
Legal business name
The Devereux Foundation
Organization subpart
No
Enumeration date
Apr 25, 2017
Last updated
Apr 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesSA2241NJYes

Other names

  • Devereux Advanced Behavioral Health (Doing Business As)

Practice location

105 Heritage Court
Pennington, NJ 08534

Phone 856-599-6400 · Fax 856-599-6404

Mailing address

286 Mantua Grove Road, Building #4
West Deptford, NJ 08066

Phone 856-599-6400 · Fax 856-599-6404

Authorized official

Carole Cirucci
Director Of Finance
8565996429

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