Devereux Foundation
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hewitt, NJ. Organization (NPI-2).
NPI number1164080834
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1164080834
- Entity type
- Organization (NPI-2)
- Legal business name
- Devereux Foundation
- Organization subpart
- No
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Devereux Advanced Behavioral Health (Doing Business As)
Practice location
238 Longhouse DrHewitt, NJ 07421-3730
Phone 856-599-6400
Mailing address
286 Mantua Grove RdWest Deptford, NJ 08066-1738
Authorized official
Carole Cirucci
Director Of Finance
8655996429
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