NPI 1053061150

Devereux Cleo Wallace

Organisation Psychiatric Residential Treatment Facility Westminster, CO

Practice location

Address: 8405 Church Ranch Blvd, Westminster, CO 80021-3918
Phone: (610) 542-3064
Mailing address: PO Box 74292, Cleveland, OH 44194-0002

Authorised official

Name: Bonnie Wright
Title: Quality Improvement Director
Phone: (303) 438-2265

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Colorado →

Registry record

NPI: 1053061150
Entity type: Organization
NPI issued: 24 Mar 2022
Record last updated: 24 Mar 2022

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.