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
8297 SUNSET AVE, FAIR OAKS, CA 95628-5153
(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
340317015
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
347005963
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
347005967
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
347005997
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
347006002
CA
Other
Enumeration date
10/13/2017
Last updated
07/17/2019
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