Organization
DISCOVERY HOUSE UTAH
Active
Organization
DISCOVERY HOUSE UTAH
Active
Other names
Discovery House West Warwic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MORRIS (VICE PRESIDENT OF FINANCE)
(401) 780-2300
Entity
Organization
Contact information
Practice address
88 W WARWICK AVE, WEST WARWICK, RI 02893-3871
(401) 821-8866
(401) 821-1319
Mailing address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 780-2300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
608.3
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029400
BEACON HEALTH STRATEGIES
RI
01
—
410268
BLUECHIP RITECARE
RI
01
—
8410032
UNITED HEALTHCARE
RI
01
—
8481061
UNITED RITECARE
RI
05
—
DH42856
—
RI
Enumeration date
07/11/2005
Last updated
08/22/2020
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