| Devereux Foundation | |
|
1547 Mill Creek Rd Newfoundland PA 18445-5239 | |
| (570) 839-6140 | |
| Not Available |
| Full Name | Devereux Foundation |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1547 Mill Creek Rd, Newfoundland, Pennsylvania |
| Authorized Official Name and Position | Diane Howell (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5708396151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Foundation 1547 Mill Creek Rd Newfoundland PA 18445-5239 Ph: (570) 839-6151 | Devereux Foundation 1547 Mill Creek Rd Newfoundland PA 18445-5239 Ph: (570) 839-6140 |
| NPI Number | 1932731197 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932731197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |