| Devereux Foundation | |
|
1041 W Bridge St Phoenixville PA 19460-4342 | |
| (610) 933-8110 | |
| (610) 933-7451 |
| Full Name | Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1041 W Bridge St, Phoenixville, Pennsylvania |
| Authorized Official Name and Position | Joseph Mclaughlin (BUSINESS MANAGER) |
| Authorized Official Contact | 6104221463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Foundation 1041 W Bridge St Phoenixville PA 19460-4342 Ph: (610) 933-8110 | Devereux Foundation 1041 W Bridge St Phoenixville PA 19460-4342 Ph: (610) 933-8110 |
| NPI Number | 1326510066 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326510066 | NPI | - | NPPES |
| 100001903 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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