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PARADISE 2 PRP LLC NPI 1891920724


NPI Information

NPI: 1891920724
Provider Name: PARADISE 2 PRP LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7902 BELAIR RD
SUITE 4
NOTTINGHAM, MD
ZIP 21236
Phone: (443) 691-8522
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PARADISE 2 PRP LLC is an adult mental health clinic center in Nottingham, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PARADISE 2 PRP LLC NPI is 1891920724. The provider is registered as an organization entity type.

The provider's business location address is:

7902 BELAIR RD
SUITE 4
NOTTINGHAM, MD
ZIP 21236-707
Phone: (443) 691-8522
Fax: (410) 325-1642

The provider's authorized official is Igor Chernyakhovsky .
The authorized official title is Managing Member and has the following contact phone number (443) 691-8522.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/21/2009.


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
1261QM0850XClinic/CenterAdult Mental Health23093MARYLANDYes

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: 5/5/2024

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