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NPI Code Detail

MEDICARE: DISCOVERY HOUSE LT, INC.

MEDICARE: DISCOVERY HOUSE LT, INC.
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/Center13742UT
2261QM2800XMethadone Clinic13742UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982875928
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOVERY HOUSE LT, INC.
Provider Business Mailing Address
First Line : PO BOX 682669
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-2669
Country : US
Telephone Number : 760-710-0819
Fax Number : 877-552-0439
Provider Business Practice Location Address
First Line : 523 HERITAGE PARK BLVD
Second Line :
City : LAYTON
State : UT
Zip : 84041-5711
Country : US
Telephone Number : 801-525-9998
Fax Number : 801-525-6984
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 03/18/2008
Last Update Date : 04/07/2026

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