Devereux Foundation
NPI #1346319142 in Kennesaw, Georgia
Provider Information
- NPI Number
- 1346319142
- Entity Type
- Organization
- Organization Name
- Devereux Foundation
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jan 16, 2009
Practice Location
Authorized Official
- Name
- MR. MARIO BOLIVAR JR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (687) 303-2669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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