MEDICARE: DISCOVERY HOUSE CU, 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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	177102	PA
2	251B00000X	Case Management Agency
3	261Q00000X	Clinic/Center	177102	PA
4	261QM2800X	Methadone Clinic	177102	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	348401	OTHER	PA	VALUE OPTIONS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710985635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVERY HOUSE CU, LLC

Provider Business Mailing Address
First Line	:	6183 PASEO DEL NORTE STE 200
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92011-1151
Country	:	US
Telephone Number	:	156-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 AIRPORT ROAD
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-7022
Country	:	US
Telephone Number	:	814-768-7575
Fax Number	:	814-768-9754

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	:	04/10/2025

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Directions to “DISCOVERY HOUSE CU, LLC ” Practice Location

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