NPI 1073940177

Devereux Cidds Donovan

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility West Chester, PA

Practice location

Address: 390 E Boot Rd 102 Genuardi Circle, West Chester, PA 19380-1222
Phone: (610) 431-8100

Authorised official

Name: Fran Wagner
Title: National Director of Accounts Recei
Phone: (610) 542-3084

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 132890 (PA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Pennsylvania →

Registry record

NPI: 1073940177
Entity type: Organization
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

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.