Organization · Type 2 NPI

The Devereux Foundation

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

NPI number 1649704602 Active

Practice location

28 West Park Drive
Bridgeton, NJ 08302

Call (856) 599-6400 Map

Fax (856) 599-6404

Mailing address

286 Mantua Grove Road
West Deptford, NJ 08066

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	GH393 (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 1649704602

The Devereux Foundation's National Provider Identifier is 1649704602, issued on Apr 17, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bridgeton, NJ. The record was last updated on Apr 17, 2017.