Provider Demographics
NPI:1053918698
Name:DISCOVERY PRACTICE MANAGEMENT, INC.
Entity type:Organization
Organization Name:DISCOVERY PRACTICE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-588-4722
Mailing Address - Street 1:4281 KATELLA AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3588
Mailing Address - Country:US
Mailing Address - Phone:562-588-4722
Mailing Address - Fax:
Practice Address - Street 1:40903 236TH AVE SE
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-8606
Practice Address - Country:US
Practice Address - Phone:360-218-2832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISCOVERY PRACTICE MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility