NPI | 1164309993 |
---|---|
Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, ANNAPOLIS (PINE) |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO A VP Payer Relations & Strategy 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 | 2025-08-21 |
Last Update Date | 2025-08-21 |