Organization
DISCOVERY HOUSE GROUP
Active
Other names
Discovery House LC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MORRIS (VICE PRESIDENT OF FINANCE)
(401) 780-2300
Entity
Organization
Contact information
Practice address
4195 CLEVELAND ST, RANBURN WOODS PLAZA, GARY, IN 46408-2427
(219) 985-8144
(219) 985-8146
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 780-2300
(401) 780-2397
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1397-0-ASR
IN
Other
Enumeration date
07/14/2005
Last updated
08/22/2020
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