Provider Demographics
NPI:1699209916
Name:DISCOVERY POINT RETREAT
Entity Type:Organization
Organization Name:DISCOVERY POINT RETREAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NURYS
Authorized Official - Middle Name:B
Authorized Official - Last Name:PUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-773-6345
Mailing Address - Street 1:530 HIGHT RD
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75167-8945
Mailing Address - Country:US
Mailing Address - Phone:855-459-9958
Mailing Address - Fax:305-930-7437
Practice Address - Street 1:530 HIGHT RD
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75167-8945
Practice Address - Country:US
Practice Address - Phone:786-923-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility