NPI | 1972014041 |
---|---|
Doing Business As | PARADISE DETOX, INC |
Entity Type | Organization |
Authorized Contact | ROBERT NIZNIK CEO 855-756-2013 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2017-10-17 |
Last Update Date | 2020-06-04 |