NPI 1124189386

Devereux Foundation

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

Practice location

Address: 390 E Boot Rd, West Chester, PA 19380-1222
Phone: (610) 431-8100
Fax: (610) 431-8191

Authorised official

Name: Fran Wagner
Title: National Director, Ar
Phone: (610) 542-3084

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence 188810 (PA)

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 126010 (PA)

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

Registry record

NPI: 1124189386
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 9 Jun 2011

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.