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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