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THE DEVEREUX FOUNDATION NPI 1003913385


NPI Information

NPI: 1003913385
Provider Name: THE DEVEREUX FOUNDATION

Doing Business As: DEVEREUX ARIZONA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
6141 E GRANT RD
TUCSON, AZ
ZIP 85712
Phone: (520) 296-5551
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THE DEVEREUX FOUNDATION is an adolescent and children mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. THE DEVEREUX FOUNDATION NPI is 1003913385. The provider is registered as an organization entity type.
The provider Is Doing Business As Devereux Arizona.

The provider's business location address is:

6141 E GRANT RD
TUCSON, AZ
ZIP 85712-829
Phone: (520) 296-5551

The provider's authorized official is Lane Martin-barker .
The authorized official title is Executive Director and has the following contact phone number (480) 998-2920.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthBH-721ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1448713OTHERARIZONAAHCCCS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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