Organization
DISCOVERY PRACTICE MANAGEMENT, INC
Active
Other names
Discovery Mood & Anxiety Program, Fairfax Station
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
10416 BURKE LAKE RD, FAIRFAX STATION, VA 22039-1808
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
05/10/2023
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