DEVEREUX CLEO WALLACE

Emotionally Disturbed Childrens' Residential Treatment Facility · WESTMINSTER, CO

Organization Active NPI 1184723660

Taxonomy & licensure

Specialty	Code	Primary	License	State
Emotionally Disturbed Childrens' Residential Treatment Facility	322D00000X	✓	39794	CO
Psychiatric Residential Treatment Facility	323P00000X		39794	CO

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.