| Organization Name: | DISCOVERY HOUSE UTAH |
| NPI Number: | 1417955733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER MORRIS (VICE PRESIDENT OF FINANCE) |
| Mailing Address: | 88 W Warwick Ave West Warwick |
| State: | RI US |
| Postal Code: | 028933871 |
| Phone Number: | 4018218866 |
| Fax Number: | 4018211319 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 608.3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |