| Paradise Behavioral Health Services Llc | |
|
1837 S Mesa Dr Ste B202 Mesa AZ 85210-6219 | |
| (602) 855-0390 | |
| Not Available |
| Full Name | Paradise Behavioral Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1837 S Mesa Dr Ste B202, Mesa, Arizona |
| Authorized Official Name and Position | Latosha Woodard (OWNER) |
| Authorized Official Contact | 6028550390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Behavioral Health Services Llc 1837 S Mesa Dr Ste B202 Mesa AZ 85210-6219 Ph: (602) 855-0390 | Paradise Behavioral Health Services Llc 1837 S Mesa Dr Ste B202 Mesa AZ 85210-6219 Ph: (602) 855-0390 |
| NPI Number | 1811651003 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811651003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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