1346319142 DEVEREUX FOUNDATION

Psychiatric Residential Treatment Facility

Active

Basic Information

Organization Name
DEVEREUX FOUNDATION
Enumeration Date
November 7, 2006
Last Update
January 16, 2009
Authorized Official
MR. MARIO BOLIVAR JR.
EXECUTIVE DIRECTOR
Phone: (687) 303-2669

Practice Location

Address
1291 STANLEY RD NW
KENNESAW, GA 301524359
Phone
(770) 427-0147

Mailing Address

Address
1283 KENNESTONE CIR
SUITE 100
MARIETTA, GA 300666029
Phone
(770) 427-0147
Fax
(770) 423-1502

Specialties & Taxonomies

Specialty Code Classification License State Primary
Psychiatric Residential Treatment Facility
323P00000X Psychiatric Residential Treatment Facility 5910 GA Primary

Other Identifiers

Identifier Type State Issuer
087592297A 05 GA N/A
3404521 05 NC N/A
700401000 05 MD N/A
0002464004 05 WV N/A

Frequently Asked Questions

What is DEVEREUX FOUNDATION's NPI number?
DEVEREUX FOUNDATION's NPI number is 1346319142.
Which doctor has NPI number 1346319142?
The doctor with NPI number 1346319142 is DEVEREUX FOUNDATION.
What is DEVEREUX FOUNDATION's practice address?
DEVEREUX FOUNDATION's practice address is 1291 STANLEY RD NW, KENNESAW, GA, 301524359.
Which doctor practices at 1291 STANLEY RD NW, KENNESAW, GA, 301524359?
DEVEREUX FOUNDATION practices at 1291 STANLEY RD NW, KENNESAW, GA, 301524359.
What is DEVEREUX FOUNDATION's mailing address?
DEVEREUX FOUNDATION's mailing address is 1283 KENNESTONE CIR, SUITE 100, MARIETTA, GA, 300666029.
What is DEVEREUX FOUNDATION's phone number?
DEVEREUX FOUNDATION's phone number is (770) 427-0147.
Who is (770) 427-0147?
(770) 427-0147 is the phone number for DEVEREUX FOUNDATION.
What is DEVEREUX FOUNDATION's specialty?
DEVEREUX FOUNDATION's specialty is Psychiatric Residential Treatment Facility.
What type of doctor is DEVEREUX FOUNDATION?
DEVEREUX FOUNDATION is a Psychiatric Residential Treatment Facility.
Is DEVEREUX FOUNDATION a Psychiatric Residential Treatment Facility?
Yes, DEVEREUX FOUNDATION is a Psychiatric Residential Treatment Facility.
Is DEVEREUX FOUNDATION still practicing?
Yes, DEVEREUX FOUNDATION is currently practicing.
Is DEVEREUX FOUNDATION accepting new patients?
DEVEREUX FOUNDATION may be accepting new patients. Please call their office at (770) 427-0147 to inquire about availability.
Is NPI 1346319142 still active?
Yes, NPI 1346319142 is currently active.
Where does DEVEREUX FOUNDATION practice?
DEVEREUX FOUNDATION practices in KENNESAW, GA.