DEVEREUX CLEO WALLACE – NPI #1053061150
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

DEVEREUX CLEO WALLACE is a psychiatric residential treatment facility located in WESTMINSTER, CO. NPPES has assigned the NPI number 1053061150 to DEVEREUX CLEO WALLACE on March 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEVEREUX CLEO WALLACE below.

NPI Profile for
DEVEREUX CLEO WALLACE

NPI Number
1053061150
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEVEREUX CLEO WALLACE
Primary location
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021-3918
Phone: (610) 542-3064 Fax:
Mailing address
PO BOX 74292
CLEVELAND, OH 44194-0002
Phone: (610) 542-3064 Fax:
Organization Subpart
No
Authorized Official
BONNIE WRIGHT
QUALITY IMPROVEMENT DIRECTOR
Phone: (303) 438-2265
Updated
Certification Date
Mar 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.