Organization
MND GLOBAL HEALTH
Active
Other names
Paradise Behavioral Health Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICE NIPAPE BHT MPH (ADMINISTRATOR)
(602) 544-6075
Entity
Organization
Contact information
Practice address
6238 W SOUTHGATE ST, PHOENIX, AZ 85043-1908
(602) 544-6075
Mailing address
6238 W SOUTHGATE ST, PHOENIX, AZ 85043-1908
(602) 544-6075
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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