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Organization

PARAMOUNT RECOVERY CENTER LLC

Active
Parent organization
PARAMOUNT RECOVERY CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARAMOUNT RECOVERY CENTER LLC
Authorized official
KEVIN ROSS (CEO)
(917) 903-7445
Entity
Organization

Contact information

Practice address
2211 S MILL AVE, TEMPE, AZ 85282-2115
(928) 583-4878
Mailing address
PO BOX 4333, PRESCOTT, AZ 86302-4333
(928) 583-4878

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
11/15/2022
Last updated
07/11/2023
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