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Organization
PARADIGM HEALTH PSYCHIATRIC SRV, LLC
Active
Organization
PARADIGM HEALTH PSYCHIATRIC SRV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN D HARWOOD (PRESIDENT/CEO)
(800) 632-6074
Entity
Organization
Contact information
Practice address
120 PENMARC DR, SUITE 118, RALEIGH, NC 27603-2400
(800) 632-6074
Mailing address
7431 114TH AVE, SUITE 104, LARGO, FL 33773-5119
(800) 632-6074
(866) 341-7509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08773528
—
MS
05
—
3727726
—
TN
05
—
6006510
—
NC
Enumeration date
05/11/2006
Last updated
09/14/2011
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