Organization · Type 2 NPI

Devereux Kanner

Emotionally Disturbed Childrens' Residential Treatment Facility · West Chester, PA

NPI number 1396869079 Active

Practice location

390 E Boot Rd
West Chester, PA 19380-1222

Call (610) 431-8100 Map

Fax (610) 431-3155

Mailing address

2012 Renaissance Blvd
King Of Prussia, PA 19406-2786

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X126010 (PA)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X126010 (PA)

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.

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About NPI 1396869079

Devereux Kanner's National Provider Identifier is 1396869079, issued on Mar 19, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in West Chester, PA. The record was last updated on Jun 10, 2011.