PARADISE CREEK HOMES NPI 1104458090

NPI Information

PARADISE CREEK HOMES is a substance abuse rehabilitation facility in San Tan Valley, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PARADISE CREEK HOMES NPI is 1104458090. The provider is registered as an organization entity type.

The provider's business location address is:

42714 N MURPHY AVE
SAN TAN VALLEY, AZ
ZIP 85140-813
Phone: (202) 718-9939

The provider's authorized official is Clovis Hermann Lawin .
The authorized official title is Ceo and has the following contact phone number (202) 718-9939.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/7/2020.

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:

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