DEVEREUX CLEO WALLACE 1053061150

Name: DEVEREUX CLEO WALLACE Specialty: Psychiatric Residential Treatment Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:

Practice Type: Residential Treatment Facilities Classification: Psychiatric Residential Treatment Facility Specialization: . Definition of Specialty: 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

License #(s): , , , , License State(s): , , , ,

Practice Location: DEVEREUX CLEO WALLACE,8405 CHURCH RANCH BLVD,WESTMINSTER,CO,800213918,US Mailing Address: DEVEREUX CLEO WALLACE,PO BOX 74292,CLEVELAND,OH,441940002,US

Practice location phone #: 6105423064 Practice location fax #: Mailing address Phone #: 6105423064 Mailing Address fax #: Authorized official Name/Telephone #:BONNIE, WRIGHT, QUALITY IMPROVEMENT DIRECTOR 3034382265

Date NPI was obtained: 03/24/2022 Last data data was updated: 03/24/2022 Insurances: