Organization
DISCOVERY PRACTICE MANAGEMENT, INC.
Active
Other names
Discovery Mood & Anxiety Program, Milwaukee
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
312 E WISCONSIN AVE, MILWAUKEE, WI 53202-4310
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
07/03/2023
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