DISCOVERY HOUSE LT INC. NPI 1982875928

NPI Information

NPI: 1982875928
Provider Name: DISCOVERY HOUSE LT, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 46D2151116

Address:
523 HERITAGE PARK BLVD
LAYTON, UT
ZIP 84041
Phone: (801) 525-9998
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DISCOVERY HOUSE LT, INC. is a methadone clinic center in Layton, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. DISCOVERY HOUSE LT, INC. NPI is 1982875928. The provider is registered as an organization entity type.

The provider's business location address is:

523 HERITAGE PARK BLVD
LAYTON, UT
ZIP 84041-711
Phone: (801) 525-9998
Fax: (801) 525-6984

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 46D2151116 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 8/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13742	UTAH	No
2	261QM2800X	Clinic/Center	Methadone	13742	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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