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Devereux Foundation

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hewitt, NJ

NPI 1164080834 · NPPES record last updated May 29, 2019

Key facts

NPI
1164080834
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
DEVEREUX FOUNDATION
Practice address
238 Longhouse Dr
Hewitt, NJ 07421-3730
Phone
(856) 599-6400
NPI assigned
May 29, 2019
Organization subpart
No

Authorized official

Name
Carole Cirucci
Title
Director of Finance
Phone
(865) 599-6429

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Devereux Florida (331 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

238 Longhouse Dr
Hewitt, NJ 07421-3730

Mailing address

286 Mantua Grove Rd
West Deptford, NJ 08066-1738

Other identifiers

IdentifierTypeStateIssuer
0399507MedicaidNJ

Other names

  • Devereux Advanced Behavioral Health Doing business as

Other providers in Hewitt, NJ

All providers in Hewitt, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.