NPI | 1790007896 |
---|---|
Doing Business As | DISCOVERYMD, KENT |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 149400) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-02-17 |
Last Update Date | 2023-05-08 |