1184723660 DEVEREUX CLEO WALLACE

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
DEVEREUX CLEO WALLACE
Enumeration Date
September 21, 2006
Last Update
March 11, 2022
Authorized Official
BONNIE WRIGHT
QUALITY IMPROVEMENT DIRECTOR
Phone: (303) 438-2265

Practice Location

Address
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 800213918
Phone
(303) 466-7391

Mailing Address

Address
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 800213918
Phone
(303) 466-7391

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatric Residential Treatment Facility
323P00000X Psychiatric Residential Treatment Facility 39794 CO No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 39794 CO Primary

Other Identifiers

Identifier Type State Issuer
05350053 05 CO N/A
17284554 05 CO N/A

Frequently Asked Questions

What is DEVEREUX CLEO WALLACE's NPI number?
DEVEREUX CLEO WALLACE's NPI number is 1184723660.
Which doctor has NPI number 1184723660?
The doctor with NPI number 1184723660 is DEVEREUX CLEO WALLACE.
What is DEVEREUX CLEO WALLACE's practice address?
DEVEREUX CLEO WALLACE's practice address is 8405 CHURCH RANCH BLVD, WESTMINSTER, CO, 800213918.
Which doctor practices at 8405 CHURCH RANCH BLVD, WESTMINSTER, CO, 800213918?
DEVEREUX CLEO WALLACE practices at 8405 CHURCH RANCH BLVD, WESTMINSTER, CO, 800213918.
What is DEVEREUX CLEO WALLACE's phone number?
DEVEREUX CLEO WALLACE's phone number is (303) 466-7391.
Who is (303) 466-7391?
(303) 466-7391 is the phone number for DEVEREUX CLEO WALLACE.
What is DEVEREUX CLEO WALLACE's specialty?
DEVEREUX CLEO WALLACE's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is DEVEREUX CLEO WALLACE?
DEVEREUX CLEO WALLACE is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is DEVEREUX CLEO WALLACE a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, DEVEREUX CLEO WALLACE is a Residential Treatment Facility, Emotionally Disturbed Children.
Is DEVEREUX CLEO WALLACE still practicing?
Yes, DEVEREUX CLEO WALLACE is currently practicing.
Is DEVEREUX CLEO WALLACE accepting new patients?
DEVEREUX CLEO WALLACE may be accepting new patients. Please call their office at (303) 466-7391 to inquire about availability.
Is NPI 1184723660 still active?
Yes, NPI 1184723660 is currently active.
Where does DEVEREUX CLEO WALLACE practice?
DEVEREUX CLEO WALLACE practices in WESTMINSTER, CO.