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DEVEREUX CLEO WALLACE
NPI 1184723660
Residential Treatment Facility, Emotionally Disturbed Children in Westminster, CO

Active since September 21, 2006
8405 CHURCH RANCH BLVD, WESTMINSTER, CO 80021(303) 466-7391 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2022, Oct 31, 2016, Nov 24, 2015 (3 updates tracked since 2015).

About Devereux Cleo Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVEREUX CLEO WALLACE (NPI 1184723660) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Westminster, Colorado and active in the NPI registry since September 2006. The organization lists Bonnie Wright, Quality Improvement Director, as its authorized official.

NPPES Registry Identity

NPI1184723660
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameDEVEREUX CLEO WALLACE
Location Address8405 CHURCH RANCH BLVDWestminster, CO 80021-3918
Mailing Address8405 Church Ranch BlvdWestminster, CO 80021-3918 · (303) 466-7391
Phone(303) 466-7391
Organization SubpartNo
Authorized OfficialBonnie WrightQuality Improvement Director · (303) 438-2265
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 11, 20223 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1184723660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in CO · 39794
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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 39794 (CO)
8405 CHURCH RANCH BLVD, Westminster, CO 80021
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Other Identifiers 2

Medicaid17284554CO
Medicaid05350053CO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIA YOUNG LPC
Counselor (Professional)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (720) 432-2061
RETA A MORRISETTE LPC
Counselor (Professional)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 438-2263
DEVEREUX CLEO WALLACE
Psychiatric Residential Treatment Facility
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (610) 542-3064
SEAN F GORMAN LPC
Counselor (Professional)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 438-2322
VERONICA HOPKINS
Social Worker (Clinical)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 438-2249
KYLE KUNKEL
Counselor (Professional)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 438-2231
LINDA HOWARD FRIEDEN LCSW
Social Worker (Clinical)
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 466-7391
KESHA TOWNE
Social Worker
8405 CHURCH RANCH BLVD
WESTMINSTER, CO 80021
Jefferson County (303) 438-2249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devereux Cleo Wallace's NPI number?

The NPI number for Devereux Cleo Wallace is 1184723660. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Devereux Cleo Wallace located?

Devereux Cleo Wallace is located at 8405 Church Ranch Blvd, Westminster, CO 80021. The listed phone number is (303) 466-7391.

What is Devereux Cleo Wallace's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Devereux Cleo Wallace was last updated on March 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.