NPI 1184723660

Devereux Cleo Wallace

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Westminster, CO

Practice location

Address: 8405 Church Ranch Blvd, Westminster, CO 80021-3918
Phone: (303) 466-7391

Authorised official

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

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 39794 (CO)

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

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 39794 (CO)

Other Psychiatric Residential Treatment Facility providers in Colorado →

Registry record

NPI: 1184723660
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 11 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.