NPI 1174909469
Devereux Foundation
Practice location
- Address
- 370 Campus Dr Suite 120, Somerset, NJ 08873-1128
- Phone
- (856) 599-6400
- Fax
- (856) 599-6404
- Mailing address
- 286 Mantua Grove Rd Building #4, West Deptford, NJ 08066-1738
Authorised official
- Name
- Carole Cirucci
- Title
- Director of Finance
- Phone
- (610) 542-3084
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1174909469
- Entity type
- Organization
- NPI issued
- 10 Aug 2015
- Record last updated
- 9 May 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.