Organization · Type 2 NPI
Discovery Practice Management, Inc
Mental Illness Community Based Residential Treatment Facility · Southport, CT
NPI number
1134500507
Active
Practice location
1320 Mill Hill Rd
Southport, CT 06890-3017
Fax (714) 882-1186
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
| Psychiatric Residential Treatment Facility | 323P00000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1134500507
Discovery Practice Management, Inc's National Provider Identifier is 1134500507, issued on Jun 11, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Southport, CT. The record was last updated on Nov 2, 2023.