Organization · NPI-2

Devereux Florida

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Orlando, FL

NPI number1720648322
StatusActive
Last updated in NPPESJun 17, 2019

Details

NPI
1720648322
Entity type
Organization (NPI-2)
Legal business name
Devereux Florida
Organization subpart
No
Enumeration date
Jun 17, 2019
Last updated
Jun 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Other names

  • Devereux Advanced Behavioral Health (Doing Business As)

Practice location

4119 Eagle Feather Dr
Orlando, FL 32829-8436

Phone 407-380-7816

Mailing address

4119 Eagle Feather Dr
Orlando, FL 32829-8436

Phone 407-380-7816

Authorized official

Michael Sweezey
Business Analyst
4073629274

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