NPI | 1891860920 |
---|---|
Doing Business As | DISCOVERYMD, BELLEVUE |
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 17081600) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2023-05-08 |