OrganizationActive
Discovery Practice Management, Inc
NPI 1134500507 · Mental Illness Community Based Residential Treatment Facility · Southport, CT
Provider details
- NPI number
- 1134500507
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
1320 Mill Hill Rd
Southport, CT 06890-3017
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
- Center for Discovery, Southport Rtc
Registry dates
- Enumerated
- 2015-06-11
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.