PARADISE ADOLESCENT HOME NPI 1437725900

NPI Information

NPI: 1437725900
Provider Name: PARADISE ADOLESCENT HOME
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
136 VALDIVIA CIR
SAN RAMON, CA
ZIP 94583
Phone: (925) 901-0219
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PARADISE ADOLESCENT HOME is a mental health counselor in San Ramon, CA. PARADISE ADOLESCENT HOME NPI is 1437725900. The provider is registered as an organization entity type.

The provider's business location address is:

136 VALDIVIA CIR
SAN RAMON, CA
ZIP 94583-228
Phone: (925) 901-0219

The provider's authorized official is Antwanette Edwards .
The authorized official title is Counselor and has the following contact phone number (407) 462-5593.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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