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Organization
PARAGON CITADEL LLC
Active
Organization
PARAGON CITADEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWAKEMI OGUNLEYE (OWNER)
(214) 646-1606
Entity
Organization
Contact information
Practice address
2428 E APACHE BLVD STE 123125, TEMPE, AZ 85288-4935
(404) 980-7137
Mailing address
2428 E APACHE BLVD STE 123125, TEMPE, AZ 85288-4935
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
05/22/2026
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