DEVEREUX GEORGIA TREATMENT NETWORK
NPI 1346319142
Psychiatric Residential Treatment Facility in Kennesaw, GA

Active since November 07, 2006
1291 STANLEY RD NW, KENNESAW, GA 30152(770) 427-0147 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Devereux Georgia Treatment Network NPPES

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

DEVEREUX GEORGIA TREATMENT NETWORK (NPI 1346319142) is a healthcare organization registered as a psychiatric residential treatment facility in Kennesaw, Georgia and active in the NPI registry since November 2006. The organization lists Mario Bolivar, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346319142
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameDEVEREUX FOUNDATION
Location Address1291 STANLEY RD NWKennesaw, GA 30152-4359
Mailing Address1283 Kennestone Cir, Suite 100Marietta, GA 30066-6029 · (770) 427-0147 · Fax (770) 423-1502
Organization SubpartNo
Authorized OfficialMario BolivarExecutive Director · (687) 303-2669
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 16, 2009
NPI 1346319142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in GA · 5910
Definition
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
1291 STANLEY RD NW, Kennesaw, GA 30152

Other Names 1

Other NameDevereux Georgia Treatment Network

Other Identifiers 6

Medicaid3404521NC
Medicaid087592297AGA
Medicaid0002464004WV
Medicaid700401000MD
Medicare ID-Type Unspecified019200400DC · Dc Medicaid
Medicare ID-Type Unspecified8387605NJ · Nj Medicaid

Accepted Insurance

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.

Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Licensed Practical Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Psychiatric Residential Treatment Facility
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1291 STANLEY RD NW
KENNESAW, GA 30152
Social Worker
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Nurse Practitioner (Psychiatric/Mental Health)
1291 STANLEY RD NW
KENNESAW, GA 30152

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 Foundation's NPI number?

The NPI number for Devereux Foundation is 1346319142. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is also known as Devereux Georgia Treatment Network.

Where is Devereux Foundation located?

Devereux Foundation is located at 1291 Stanley Rd NW, Kennesaw, GA 30152. The listed phone number is (770) 427-0147.

What is Devereux Foundation's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

What insurance does Devereux Foundation accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Devereux Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devereux Foundation was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.