Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVEREUX CLEO WALLACE
Active OrganizationResidential Treatment, Emotionally Disturbed Children · WESTMINSTER, CO
Registration Details
- NPI Number
- 1184723660
- Provider Type
- Organization
- NPI Issued
- Sep 21, 2006 (19.58346350951 yrs)
- Last Updated
- Mar 11, 2022
- Licenses
-
39794 (CO)39794 (CO)
Practice Information
- Address
-
8405 CHURCH RANCH BLVDWESTMINSTER, CO, 800213918Browse CO providers · Browse ZIP 80021
- Phone
- 3034667391
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
- Additional Specialty
- Residential Treatment, Emotionally Disturbed Children
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.