Organization
PARAGON RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHALYCE NICOLE LIKENS LMFT (EXECUTIVE DIRECTOR)
(949) 572-5175
Entity
Organization
Contact information
Practice address
1852 SANTA MARGARITA DR, FALLBROOK, CA 92028-1643
(760) 731-1386
Mailing address
1852 SANTA MARGARITA DR, FALLBROOK, CA 92028-1643
(760) 731-1386
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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