# PARADISE ADOLESCENT HOMES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598477291
- **Authorized official:** MARITZA JEFFERSON-GREGORY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (925) 570-8498

## Contact information

- **Practice address:** 4605 APRIL CT, VALLEJO, CA 94591-6378
- **Practice address phone:** (707) 980-6857
- **Mailing address:** PO BOX 626, SAN RAMON, CA 94583-0626
- **Mailing address phone:** (925) 570-8487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2022
- **Last updated:** 07/26/2023