Devereux Foundation
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Somerset, NJ. Organization (NPI-2).
Details
- NPI
- 1174909469
- Entity type
- Organization (NPI-2)
- Legal business name
- Devereux Foundation
- Organization subpart
- No
- Enumeration date
- Aug 10, 2015
- Last updated
- May 9, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
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
370 Campus DrSuite 120
Somerset, NJ 08873-1128
Phone 856-599-6400 · Fax 856-599-6404
Mailing address
286 Mantua Grove RdBuilding #4
West Deptford, NJ 08066-1738
Phone 856-599-6400
Authorized official
Carole Cirucci
Director Of Finance
6105423084
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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