Devereux Advanced Behavioral Health
LBN: The Devereux Foundation
Devereux Advanced Behavioral Health is an health care organization with primary practice located at 59 Boulevard, Elmwood Village Apartments, Elmwood Park NJ 07407. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
The Devereux Foundation can be contacted via phone (856) 599-6400, or through Cirucci, Carole via phone (856) 599-6429.
Contact Information
Primary practice address
59 Boulevard, Elmwood Village Apartments
Elmwood Park NJ 07407
Phone: (856) 599-6400
Fax: (856) 599-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | SA1171 | New Jersey |
Profile Details
| NPI number | 1376078642 |
|---|---|
| LBN Legal business name | The Devereux Foundation |
| DBA Doing business as | Devereux Advanced Behavioral Health |
| Authorized official | Cirucci, Carole |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2017 |
| Last updated | Apr 25th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376078642 | NPPES |
| New Jersey | MEDICAID | 0399507 |
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