Healthcare Provider Details

I. General information

NPI: 1689882243
Provider Name (Legal Business Name): THE DEVEREUX FOUNDATION - CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 SEAWAY DR
GOLETA CA
93117-4358
US

IV. Provider business mailing address

PO BOX 6784
SANTA BARBARA CA
93160-6784
US

V. Phone/Fax

Practice location:
  • Phone: 805-968-2525
  • Fax:
Mailing address:
  • Phone: 805-968-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: AMY EVANS
Title or Position: EXECUTIVE ADMINSTRATOR
Credential:
Phone: 805-968-2525