Individual provider · Type 1 NPI
Lance Cory Devero
Emotionally Disturbed Childrens' Residential Treatment Facility · Laveen, AZ
NPI number
1811667173
Active
Practice location
8406 S 49th Ln
Laveen, AZ 85339-2159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
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.
Another provider at this address
Other emotionally disturbed childrens' residential treatment facility providers in Laveen
About NPI 1811667173
Lance Cory Devero's National Provider Identifier is 1811667173, issued on Sep 17, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Laveen, AZ. The record was last updated on Sep 17, 2021.