| NPI | 1174231120 |
|---|---|
| Doing Business As | PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | TAMEKA WILCOX CEO 909-257-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-07-12 |