THE DEVEREUX FOUNDATION NPI 1386781359

NPI Information

NPI: 1386781359
Provider Name: THE DEVEREUX FOUNDATION

Other Name: NJ TREATMENT NETWORK - INTENSIVE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
286 MANTUA GROVE RD
BUIDLING 4
PAULSBORO, NJ
ZIP 08066
Phone: (856) 599-6400
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THE DEVEREUX FOUNDATION is a community based residential treatment facility mental illness in Paulsboro, NJ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE DEVEREUX FOUNDATION NPI is 1386781359. The provider is registered as an organization entity type.
The provider Other Name Is Nj Treatment Network - Intensive.

The provider's business location address is:

286 MANTUA GROVE RD
BUIDLING 4
PAULSBORO, NJ
ZIP 08066-731
Phone: (856) 599-6400
Fax: (856) 599-6401

The provider's authorized official is Fran Wagner .
The authorized official title is National Accounts Receivable Direct and has the following contact phone number (610) 542-3084.

The enumeration date for this NPI number is 1/31/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		3000-035	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8833800	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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