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NPI Code Detail

MEDICARE: DISCOVERY HOUSE, LLC

MEDICARE: DISCOVERY HOUSE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center097070PA
2261Q00000XClinic/Center09707PA
3261QM2800XMethadone Clinic09070PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1501897OTHERPAVALUE OPTIONS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3330536OTHERPAMAGELLAN BEHAVIORAL HEALT

General Provider Information

NPI Number : 1386642296
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOVERY HOUSE, LLC
Provider Business Mailing Address
First Line : PO BOX 682669
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-2669
Country : US
Telephone Number : 760-429-7964
Fax Number :
Provider Business Practice Location Address
First Line : 2755 PHILMONT AVE STE 115
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-5368
Country : US
Telephone Number : 215-947-4100
Fax Number : 215-947-0192
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-716-9335
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/01/2026

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Directions to “DISCOVERY HOUSE, LLC ” Practice Location

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