Organization · NPI-2

Discovery Practice Management, INC.

Psychiatric Residential Treatment Facility · Mesa, AZ

NPI number1306517396

StatusActive

Last updated in NPPESMay 9, 2023

Details

NPI: 1306517396
Entity type: Organization (NPI-2)
Legal business name: Discovery Practice Management, INC.
Organization subpart: Yes
Enumeration date: Sep 21, 2021
Certification date: May 9, 2023
Last updated: May 9, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
323P00000X	Psychiatric Residential Treatment Facility	–	–	Yes

Other names

Center For Discovery, Mesa (Doing Business As)

Practice location

1132 S Oakland
Mesa, AZ 85206-2682

Phone 714-828-1800 · Fax 714-882-1186

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531

Phone 714-828-1800 · Fax 714-882-1186

Authorized official

Magdalen Gustilo
Director Of Payer Relations
7145687667

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