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Paradigm San Francisco Young Adult

Psychiatric Residential Treatment Facility in San Rafael, CA. Organization (NPI-2).

NPI number1134868615
StatusActive
Last updated in NPPESOct 26, 2023

Details

NPI
1134868615
Entity type
Organization (NPI-2)
Legal business name
Paradigm San Francisco Young Adult
Organization subpart
Yes
Enumeration date
Jun 2, 2022
Certification date
Oct 26, 2023
Last updated
Oct 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility––Yes

Other names

  • Arguello (Other Name)

Practice location

46 Arguello Cir
San Rafael, CA 94901-2402

Phone 323-772-0787

Mailing address

12424 Wilshire Blvd Ste 800
Los Angeles, CA 90025-1035

Phone 310-457-9008

Authorized official

Dustin Wagner
Ceo
3104579008

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