Discovery House, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

DISCOVERY HOUSE, LLC

Doing business as

Wilkes-Barre Comprehensive Treatment Center

Practice address

Discovery House, LLC Dba Wilkes-Barre Comprehensive
Treatment Center 307 Laird Street
Wilkes-Barre TWP, PA 18702

Phone

(570) 407-4304

Fax

(877) 552-0439

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ACADIA HEALTHCARE COMPANY, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nasser Khan, MD

Title

Group President

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Wilkes-Barre Comprehensive Treatment Center Doing business as

Tax ID family

Discovery House LLC3 organizations share this tax ID, including this one

Part of

Acadia Healthcare

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Discovery House, LLC

  dba dba Wilkes-Barre Comprehensive Treatment Center

  • Methadone Clinic
  • Wilkes Barre, PA
  • NPI 1134835960
  NPD tax ID
• Discovery House, LLC

  dba Huntingdon Valley Comprehensive Treatment Center

  • Methadone Clinic
  • Huntingdon Valley, PA
  • NPI 1386642296
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1417662446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6183 PASEO DEL NORTE",
            "address_2": "STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111155",
            "telephone_number": "855-259-2288",
            "fax_number": "877-552-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DISCOVERY HOUSE, LLC DBA WILKES-BARRE COMPREHENSIVE",
            "address_2": "TREATMENT CENTER 307 LAIRD STREET",
            "city": "WILKES-BARRE TWP",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-407-4304",
            "fax_number": "877-552-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY HOUSE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "KHAN, MD",
        "authorized_official_first_name": "NASSER",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes-Barre Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alek Krokos, DC
• Kelly Marie Prall, PA-C

• Methadone Clinic in Wilkes Barre TWP, PA
• Providers in Wilkes Barre TWP, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.