NPI 1396869079

Devereux Kanner

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) 431-3155
Mailing address: 2012 Renaissance Blvd, King of Prussia, PA 19406-2786

Authorised official

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

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 126010 (PA)

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

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 126010 (PA)

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

Registry record

NPI: 1396869079
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 10 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.