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Organization
PARAGON RESIDENTIAL TREATMENT FOR YOUTH LLC
Active
Organization
PARAGON RESIDENTIAL TREATMENT FOR YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL DRAGER (CHIEF FINANCIAL OFFICER)
(763) 762-6809
Entity
Organization
Contact information
Practice address
12915 63RD AVE N, MAPLE GROVE, MN 55369-6001
(952) 826-8420
Mailing address
12915 63RD AVE N, MAPLE GROVE, MN 55369-6001
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
MN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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