Paradigm Treatment Centers, LLC
Psychiatric Residential Treatment Facility in San Rafael, CA. Organization (NPI-2).
NPI number1992345284
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1992345284
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradigm Treatment Centers, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 14, 2020
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Other names
- Paradigm San Francisco (Doing Business As)
- Paradigm Malibu (Doing Business As)
Practice location
53 Dunfries TerSan Rafael, CA 94901-2415
Phone 415-785-4452
Mailing address
12424 Wilshire Blvd Ste 750Los Angeles, CA 90025-1079
Phone 310-457-6300 · Fax 310-457-6318
Other practice locations
366 Margarita Dr
San Rafael, CA 94901-2330
San Rafael, CA 94901-2330
Phone 415-524-8045 · Fax 415-524-8055
Authorized official
Ron Raglin
Director Of Rcm
3104576300
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