Organization · Type 2 NPI

Devereux Kanner

Mental Illness Community Based Residential Treatment Facility · West Chester, PA

NPI number 1629193578 Active

Practice location

791 King Rd # A
West Chester, PA 19380-1418

Call (610) 431-8100 Map

Fax (610) 431-3155

Mailing address

2012 Renaissance Blvd
King Of Prussia, PA 19406-2786

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X112230 (PA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1629193578

Devereux Kanner's National Provider Identifier is 1629193578, issued on Mar 20, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in West Chester, PA. The record was last updated on Aug 22, 2020.