Organization
PARADISE BEHAVIORAL HEALTH & RECOVERY SUPPORT SERVICES
Active
Other names
Paradise Behavioral Health & Recovery Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA WILCOX (CEO)
(909) 257-4287
Entity
Organization
Contact information
Practice address
634 KILANI AVE, WAHIAWA, HI 96786-1946
(401) 684-8808
(808) 638-4575
Mailing address
PO BOX 860010, WAHIAWA, HI 96786-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
07/12/2023
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