NPI 1003340761

The Devereux Foundation

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Glassboro, NJ

Practice location

Address: 113 Stoneham Drive, Glassboro, NJ 08028
Phone: (856) 599-6400
Fax: (856) 599-6404
Mailing address: 286 Mantua Grove Road, West Deptford, NJ 08066

Authorised official

Name: Carole Cirrucci
Title: Director of Finance
Phone: (856) 599-6429

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence GH2215 (NJ)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Jersey →

Registry record

NPI: 1003340761
Entity type: Organization
NPI issued: 19 Apr 2017
Record last updated: 19 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.