Organization
PARADISE OAKS YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMPSON (QUALITY ASSURANCE DIRECTOR)
(916) 967-6253
Entity
Organization
Contact information
Practice address
6904 MAIN AVE, ORANGEVALE, CA 95662-3621
(916) 967-6253
(916) 967-9413
Mailing address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 967-6253
(916) 967-9413
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
347005997
CA
Other
Enumeration date
10/16/2017
Last updated
07/17/2019
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