| Paradise Recovery Community Center,llc | |
|
18428 W Miami St Ste 18428 Goodyear AZ 85338-7490 | |
| (623) 202-9583 | |
| (623) 882-0715 |
| Full Name | Paradise Recovery Community Center,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18428 W Miami St Ste 18428, Goodyear, Arizona |
| Authorized Official Name and Position | Kennedy Amughan (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 6232029583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Recovery Community Center,llc 18428 W Miami St Ste 18428 Goodyear AZ 85338-7490 Ph: (623) 202-9583 | Paradise Recovery Community Center,llc 18428 W Miami St Ste 18428 Goodyear AZ 85338-7490 Ph: (623) 202-9583 |
| NPI Number | 1871294843 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871294843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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