Organization
DISCOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA M COUTO LADCII (SUBSTANCE ABUSE COUNSELOR)
(401) 762-1511
Entity
Organization
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1541
(401) 762-1511
Mailing address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1541
(401) 762-1511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1032
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050444312
—
RI
Enumeration date
08/12/2011
Last updated
08/12/2011
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