| NPI | 1487108908 |
|---|---|
| Doing Business As | CENTER FOR DISCOVERY, SOUTHPORT OP |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-03-26 |