| NPI | 1861107401 |
|---|---|
| Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, MILWAUKEE |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-07-03 |