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Lance Cory Devero
Emotionally Disturbed Childrens' Residential Treatment Facility in Laveen, Arizona
NPI 1811667173

Lance Cory Devero is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Laveen, AZ. Lance Cory Devero practices in Laveen, AZ. The NPI Number for Lance Cory Devero is 1811667173 and holds a License No. (Arizona).

The current practice location address for Lance Cory Devero is 8406 S 49Th Ln, Laveen, AZ and can be reached out via phone at 215-678-7702.

Location: 8406 S 49Th Ln, Laveen, AZ, 85339-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811667173
Provider Name
Lance Cory Devero
Credential
Provider Entity Type
Individual
Gender
Male
Address
8406 S 49Th Ln, Laveen, AZ, 85339-2159
Phone Number
215-678-7702
Fax Number
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8406 S 49Th Ln
City
Laveen
State
Arizona
Zip
85339-2159
Phone Number
215-678-7702
Fax Number
person
Provider Business Mailing Address Details
Address
8406 S 49Th Ln
City
Laveen
State
Arizona
Zip
85339-2159
Phone Number
215-678-7702
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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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