| The Devereux Foundation | |
|
1200 Gay St Phoenixville PA 19460-4475 | |
| (610) 933-8110 | |
| (610) 933-7451 |
| Full Name | The Devereux Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 Gay St, Phoenixville, Pennsylvania |
| Authorized Official Name and Position | Joseph Mclaughlin (BUSINESS MANAGER) |
| Authorized Official Contact | 6109338110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Devereux Foundation 1041 W Bridge St Phoenixville PA 19460-4342 Ph: (610) 933-8110 | The Devereux Foundation 1200 Gay St Phoenixville PA 19460-4475 Ph: (610) 933-8110 |
| NPI Number | 1467761924 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467761924 | NPI | - | NPPES |
| 100001913 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 102780 (Pennsylvania) | Primary |
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