Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI # | 1699547083 |
| LBN Legal business name | DISCOVERY PRACTICE MANAGEMENT, INC. |
| Authorized official | MAGDALEN GUSTILO - (DIRECTOR OF PAYER RELATIONS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/27/2023 |
| Last updated | 10/27/2023 - About 3 years ago |
| Identifiers | n/a |
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