| 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 |