Provider Demographics
NPI:1467441121
Name:DISCOVERY HOUSE
Entity Type:Organization
Organization Name:DISCOVERY HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:MS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-661-9222
Mailing Address - Street 1:1391 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1801
Mailing Address - Country:US
Mailing Address - Phone:412-661-9222
Mailing Address - Fax:412-661-9395
Practice Address - Street 1:1391 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1801
Practice Address - Country:US
Practice Address - Phone:412-661-9222
Practice Address - Fax:412-661-9395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006473V261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center