NPI | 1083371249 |
---|---|
Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, ANNAPOLIS (MAGNOLIA) |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2021-11-23 |
Last Update Date | 2023-11-02 |