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Devereux Kanner
Emotionally Disturbed Childrens' Residential Treatment Facility in West Chester, Pennsylvania
NPI 1306960091

Devereux Kanner is a Emotionally Disturbed Childrens' Residential Treatment Facility based in King Of Prussia, PA. Devereux Kanner practices in West Chester, PA. The NPI Number for Devereux Kanner is 1306960091 and holds a License No. 112050 (Pennsylvania).

The current practice location address for Devereux Kanner is 390 E Boot Rd, West Chester, PA and can be reached out via phone at 610-431-8100 and via fax at 610-431-3155.

Location: 390 E Boot Rd, West Chester, PA, 19406-2786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306960091
Provider Name
Devereux Kanner
Credential
Provider Entity Type
Organization
Address
390 E Boot Rd, West Chester, PA, 19406-2786
Phone Number
610-431-8100
Fax Number
610-431-3155
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0010537 05 NJ
institution
Provider Business Practice Location Address Details
Address
390 E Boot Rd
City
West Chester
State
Pennsylvania
Zip
19380-1222
Phone Number
610-431-8100
Fax Number
610-431-3155
person
Provider Business Mailing Address Details
Address
390 E Boot Rd
City
West Chester
State
Pennsylvania
Zip
19380-1222
Phone Number
610-431-8100
Fax Number
610-431-3155
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
132880 (Pennsylvania)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
112050 (Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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