OrganizationActive
Discovery Practice Management, Inc.
NPI 1063072684 · Psychiatric Residential Treatment Facility · Fairfax, VA
Provider details
- NPI number
- 1063072684
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Discovery Practice Management, Inc.
- Organization subpart
- Yes
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Residential Treatment Facilities
Practice location
10340 Democracy Ln Ste 204
Fairfax, VA 22030-2518
Phone: (714) 828-1800
Fax: (714) 882-1186
Approximate (ZIP-level) locationGet directions
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Other names (DBA / former)
- Doing business as
- Discovery Mood & Anxiety Program, Fairfax Op
- Doing business as
- Discovery Mood & Anxiety Program, Fairfax Op
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2023-05-09
- Certified
- 2023-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.