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Organization
PARADIGM SAN FRANCISCO MARINA
Active
Organization
PARADIGM SAN FRANCISCO MARINA
Active
Parent organization
PARADIGM TREATMENT CENTERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARADIGM TREATMENT CENTERS, LLC
Authorized official
DUSTIN WAGNER (CEO)
(310) 457-9008
Entity
Organization
Contact information
Practice address
135 MARINA BLVD, SAN RAFAEL, CA 94901-4224
(310) 457-6300
Mailing address
12424 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-1035
(310) 457-6300
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
10/26/2023
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