Devereux Nj Reach Treatment Home

LBN: Devereux Nj Reach Treatment Home
Devereux Nj Reach Treatment Home is an health care organization with primary practice located at 4251 Route 9 N , Freehold NJ 07728-8303. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Devereux Nj Reach Treatment Home can be contacted via phone (732) 625-9600, or through Wagner, Fran via phone (610) 542-3084.

Contact Information

Primary practice address
4251 Route 9 N Freehold NJ 07728-8303
Phone: (732) 625-9600
Fax: (610) 542-3191
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Fran
Phone: (610) 542-3084

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X New Jersey

Profile Details

NPI number 1265620934
LBN Legal business name Devereux Nj Reach Treatment Home
DBA Doing business as
Authorized official Wagner, Fran
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265620934 NPPES
New Jersey MEDICAID 0119873

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