NPI 1083095442

Discovery Practice Management, INC

Organisation Mental Illness Community Based Residential Treatment Facility Fairfield, CT

Practice location

Address: 4536 Congress St, Fairfield, CT 06824-1721
Phone: (714) 828-1800
Fax: (714) 882-1186
Mailing address: 18401 von Karman Ave STE 500, Irvine, CA 92612-8531

Authorised official

Name: Magdalen Gustilo
Title: Director of Payer Relations
Phone: (714) 568-7667

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Connecticut →

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Connecticut →

Registry record

NPI: 1083095442
Entity type: Organization
NPI issued: 11 Jun 2015
Record last updated: 2 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.