Organization · Type 2 NPI

Devereux Cleo Wallace

Emotionally Disturbed Childrens' Residential Treatment Facility · Westminster, CO

NPI number 1184723660 Active

Practice location

8405 Church Ranch Blvd
Westminster, CO 80021-3918

Call (303) 466-7391 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X39794 (CO)
Psychiatric Residential Treatment Facility 323P00000X39794 (CO)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

37 other providers at this address

About NPI 1184723660

Devereux Cleo Wallace's National Provider Identifier is 1184723660, issued on Sep 21, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Westminster, CO. The record was last updated on Mar 11, 2022.