Devereux Nj Reach Treatment Home in Freehold - Community Based Residential Treatment Facility, Mental Illness

Devereux Nj Reach Treatment Home - NPI 1265620934

Devereux Nj Reach Treatment Home is a Community Based Residential Treatment Facility, Mental Illness in Freehold, New Jersey. Devereux Nj Reach Treatment Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Devereux Nj Reach Treatment Home is 1265620934. The last update date is 2007-10-09.

Devereux Nj Reach Treatment Home's current location address is 4251 Route 9 N, Freehold, New Jersey. You can contact this provider via phone number 7326259600 and fax number 6105423191. The mailing address for Devereux Nj Reach Treatment Home is 4251 Route 9 N, Freehold, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Devereux Nj Reach Treatment Home
Address 4251 Route 9 N, Freehold, New Jersey
Phone Number 7326259600
Fax Number 6105423191
Sole Proprietor --
Credentials --

Authorized Official

Title or Position NATIONAL D
Authorized Official Name Wagner Fran
Telephone Number 6105423084

NPI Number Detail

NPI Number 1265620934
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 4251 Route 9 N
City Freehold
State New Jersey (NJ)
Post Code 77288303
Phone Number 7326259600
Fax Number 6105423191

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
119873 NJ --

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FAQs about Devereux Nj Reach Treatment Home

What is the unique identification code assigned to Devereux Nj Reach Treatment Home by the Centers for Medicare & Medicaid Services?

The Devereux Nj Reach Treatment Home has been issued the NPI (National Provider Identifier) 1265620934. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Devereux Nj Reach Treatment Home is located?

The Devereux Nj Reach Treatment Home is situated at the following address: 4251 Route 9 N, Freehold, NJ, 77288303.

What is Devereux Nj Reach Treatment Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Devereux Nj Reach Treatment Home is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1265620934 to Devereux Nj Reach Treatment Home?

The Centers for Medicare & Medicaid Services originally issued the 1265620934 to Devereux Nj Reach Treatment Home on 2007-10-09.

As of what date were the details related to Devereux Nj Reach Treatment Home most recently updated or revised?

The information pertaining to Devereux Nj Reach Treatment Home, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-09.

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