Organization · Type 2 NPI

Devereux Foundation

Emotionally Disturbed Childrens' Residential Treatment Facility · Hillsborough, NJ

NPI number 1639656705 Active

Practice location

124 Wertsville Rd
Hillsborough, NJ 08844-3908

Call (856) 599-6400 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	GH0970 (NJ)

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.

NPI record

NPI: 1639656705
Entity type: Organization (Type 2)
Issued: Jul 23, 2018
Last updated: Jul 23, 2018
Status: Active

Other names

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

Authorized official

Paul McNeill
Assistant Finance Director
(856) 599-6230

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About NPI 1639656705

Devereux Foundation's National Provider Identifier is 1639656705, issued on Jul 23, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Hillsborough, NJ. The record was last updated on Jul 23, 2018.