Organization · Type 2 NPI

The Devereux Foundation

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

NPI number 1558747758 Active

Practice location

1601 Sicklerville Rd Apt B
Sicklerville, NJ 08081-1337

Call (856) 599-6400 Map

Mailing address

286 Mantua Grove Rd Bldg 4
West Deptford, NJ 08066-1738

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

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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NPI record

NPI: 1558747758
Entity type: Organization (Type 2)
Issued: Aug 11, 2015
Last updated: Dec 8, 2020
Status: Active

Other names

<unavail>
Devereux Advanced Behavioral Health · doing business as
Devereux Advanced Behavioral Health · doing business as

Authorized official

Mrs. Carole Cirucci
Finance Director
(856) 599-6429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558747758

The Devereux Foundation's National Provider Identifier is 1558747758, issued on Aug 11, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sicklerville, NJ. The record was last updated on Dec 8, 2020.