Organization · Type 2 NPI

Devereux Foundation

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Victoria, TX

NPI number 1609958628 Active

Practice location

120 David Wade Drive
Victoria, TX 77905

Call (361) 575-8271 Map

Fax (361) 575-6520

Mailing address

PO Box 2666
Victoria, TX 77902-2666

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	5460 (TX)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

4 other providers at this address

Other intellectual and/or developmental disabilities residential treatment facility providers in Victoria

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NPI record

NPI: 1609958628
Entity type: Organization (Type 2)
Issued: Oct 19, 2006
Last updated: Jul 14, 2009
Status: Active
Subpart: Yes of Devereux Foundation

Other names

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Devereux Texas Treatment Network · doing business as

Authorized official

Ms. Pamela E. Helm
Executive Director
(281) 335-1000

Verify this record

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 1609958628

Devereux Foundation's National Provider Identifier is 1609958628, issued on Oct 19, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Victoria, TX. The record was last updated on Jul 14, 2009.