Organization
PARADISE ADOLESCENT HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA JEFFERSON-GREGORY (EXECUTIVE DIRECTOR)
(925) 570-8498
Entity
Organization
Contact information
Practice address
4605 APRIL CT, VALLEJO, CA 94591-6378
(707) 980-6857
Mailing address
PO BOX 626, SAN RAMON, CA 94583-0626
(925) 570-8487
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
07/26/2023
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