| NPI | 1134500507 |
|---|---|
| Doing Business As | CENTER FOR DISCOVERY, SOUTHPORT RTC |
| 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 | 2015-06-11 |
| Last Update Date | 2023-11-02 |