NPI | 1134897531 |
---|---|
Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, PORTLAND (TIGARD) |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2021-08-31 |
Last Update Date | 2023-05-09 |