NPI 1629193578

Devereux Kanner

Organisation Mental Illness Community Based Residential Treatment Facility West Chester, PA

Practice location

Address: 791 King Rd # a, West Chester, PA 19380-1418
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, Accts Receivable
Phone: (610) 542-3084

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 112230 (PA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Pennsylvania →

Registry record

NPI: 1629193578
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 22 Aug 2020

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.