Organization
DISCOVERY HOUSE RF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER F MORRIS (COO)
(401) 780-2300
Entity
Organization
Contact information
Practice address
4855 E STATE ST, ROCKFORD, IL 61108-2274
(815) 484-0900
(815) 484-1010
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 780-2300
(401) 780-2397
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A72600001A
IL
261QM2800X
Methadone Clinic
A72600001A
IL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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