| NPI | 1104458090 |
|---|---|
| Doing Business As | PARADISE CREEK HOMES LLC |
| Entity Type | Organization |
| Authorized Contact | CLOVIS HERMANN LAWIN CEO 202-718-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |