Devereux Cleo Wallace
Devereux Cleo Wallace is an Emotionally Disturbed Childrens' Residential Treatment Facility in Westminster, Colorado. Licensed in Colorado. Registered with an NPI since 2006.
- Licensed in
- CO
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
8405 Church Ranch BlvdWestminster, CO 80021-3918
Phone: (303) 466-7391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 39794 (CO) |
|---|---|
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X · Licence 39794 (CO) |
Record details
| NPI number | 1184723660 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonnie Wright — Quality Improvement Director · (303) 438-2265 |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | March 11, 2022 |
| Certification date | March 11, 2022 |
| Mailing address | 8405 Church Ranch Blvd, Westminster, CO 80021-3918 |