# PARADISE ADOLESCENT HOMES, INC.

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

## Provider details

- **NPI number:** 1740897784
- **Authorized official:** MARITZA JEFFERSON-GREGORY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (925) 570-8498

## Contact information

- **Practice address:** 602 WOODLARK DR, SUISUN CITY, CA 94585-2244
- **Practice address phone:** (707) 399-8907
- **Mailing address:** PO BOX 626, SAN RAMON, CA 94583-0626
- **Mailing address phone:** (925) 901-0219

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 07/27/2023