Devereux Foundation in Marietta - Psychiatric Residential Treatment Facility

Devereux Foundation - NPI 1346319142

Devereux Foundation is a Psychiatric Residential Treatment Facility in Marietta, Georgia. Devereux Foundation practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Devereux Foundation is 1346319142. The last update date is 2009-01-16.

Devereux Foundation's current location address is 1283 Kennestone Cir, Marietta, Georgia. You can contact this provider via phone number 7704270147 and fax number 7704231502. The mailing address for Devereux Foundation is 1283 Kennestone Cir, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Devereux Foundation
Address 1283 Kennestone Cir, Marietta, Georgia
Phone Number 7704270147
Fax Number 7704231502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bolivar Mario
Telephone Number 6873032669

NPI Number Detail

NPI Number 1346319142
Provider Enumeration Date 2006-11-07
Last Updated Date 2009-01-16

Provider Mailing Address Detail

Address 1283 Kennestone Cir
City Marietta
State Georgia (GA)
Post Code 300666029
Phone Number 7704270147
Fax Number 7704231502

Provider's Primary Taxonomy Detail

Speciality Psychiatric Residential Treatment Facility
Taxonomy 323P00000X
Licence No 5910
Definition:
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
087592297A GA --
3404521 NC --
700401000 MD --
2464004 WV --

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FAQs about Devereux Foundation

What is the unique 10-digit identifier code assigned to Devereux Foundation by the Centers for Medicare & Medicaid Services?

The Devereux Foundation has been issued the NPI (National Provider Identifier) 1346319142 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Devereux Foundation is physically located?

The Devereux Foundation is physically situated at the following address: 1283 Kennestone Cir, Marietta, GA, 300666029.

What is Devereux Foundation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Devereux Foundation is Psychiatric Residential Treatment Facility, and the taxonomy code that classifies this field of practice is 323P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346319142 to Devereux Foundation?

The Centers for Medicare & Medicaid Services assigned the 1346319142 to Devereux Foundation on 2006-11-07.

When was the Devereux Foundation's information last updated?

The Devereux Foundation's information was last updated on 2009-01-16.

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