Organization
VITA NOVA LLC
Active
Organization
VITA NOVA LLC
Active
Parent organization
DISCOVERY HOUSE GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISCOVERY HOUSE GROUP INC
Authorized official
MR. PETER MORRIS (CHIEF FINANCIAL & OPERATING OFFICER)
(401) 780-2300
Entity
Organization
Contact information
Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 780-2300
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
LIC 12-14-15588
UT
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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