OrganizationActive
Devereux Foundation
NPI 1346319142 · Psychiatric Residential Treatment Facility · Kennesaw, GA
Provider details
- NPI number
- 1346319142
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Mario Bolivar, Executive Director
- License
- 5910 (GA)
Mailing address
1283 Kennestone Cir
Marietta, GA 30066-6029
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2009-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.