Organization
PARAGON MEDICAL & THERAPEUTIC SERVICES OF OHIO
Active
Other names
Paragon Medical & Therapeutic Services of Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO RICHARD KING JR. LSATP (CLINICAL DIRECTOR)
(757) 713-0385
Entity
Organization
Contact information
Practice address
7400 JUSTICE DR STE 327, GLOUCESTER, VA 23061-6146
(757) 528-5807
Mailing address
303 MEADOWLAKE RD, YORKTOWN, VA 23693-3617
(757) 713-0385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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