52D2271776 CLIA NUMBER - DISCOVERY PRACTICE MANAGEMENT INC

Laboratory Demographics

CLIA Number: 52D2271776

Facility Name: DISCOVERY PRACTICE MANAGEMENT INC

Facility Address:
312 WISCONSIN AVE STE 220
MILWAUKEE, WI
ZIP 53202
Get Directions

Facility Phone Number: 714 828-1800

Facility Type: Other - RESIDENTIAL CARE

Certificate Type: Waiver

NPI Number: 1063893154

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 52D2271776
LAB Type Other - RESIDENTIAL CARE
Facility Name DISCOVERY PRACTICE MANAGEMENT INC
Street 312 WISCONSIN AVE STE 220
City MILWAUKEE
State WI
ZIP 53202
Phone 714 828-1800
CertificateType 4
CertificateEffectiveDate 11/8/2022
CertificateExpirationDate 11/7/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024