Organization · Type 2 NPI

The Devereux Foundation

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Newark, NJ

NPI number 1508390287 Active

Practice location

387 Ridge Street
Newark, NJ 07104

Call (856) 599-6400 Map

Fax (856) 599-6404

Mailing address

286 Mantua Grove Road, Building #4
West Deptford, NJ 08066

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XGH990 (NJ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508390287

The Devereux Foundation's National Provider Identifier is 1508390287, issued on Apr 19, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Newark, NJ. The record was last updated on Apr 19, 2017.