Organization
PARADISE TREATMENT SERVICES I LLC
Active
Organization
PARADISE TREATMENT SERVICES I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLOVIS HERMANN LAWIN (OWNER)
(202) 718-9939
Entity
Organization
Contact information
Practice address
4530 E RAY RD STE 172, PHOENIX, AZ 85044-6099
(202) 718-9939
Mailing address
4530 E RAY RD STE 172, PHOENIX, AZ 85044-6099
(202) 718-9939
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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