Organization
PARADIGM RECOVERY GROUP LLC
Active
Organization
PARADIGM RECOVERY GROUP LLC
Active
Other names
A Healing Place The Estates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARL STENZEL (CEO)
(184) 438-8411
Entity
Organization
Contact information
Practice address
601 E DAILY DR STE 205, CAMARILLO, CA 93010-5839
(184) 438-8410
(180) 591-4063
Mailing address
601 E DAILY DR STE 205, CAMARILLO, CA 93010-5839
(184) 438-8410
(180) 591-4063
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
06463665
CA
251S00000X
Community/Behavioral Health Agency
06463665
CA
261QH0100X
Health Service Clinic/Center
06463665
CA
261QM0850X
Adult Mental Health Clinic/Center
06463665
CA
261QM1300X
Multi-Specialty Clinic/Center
06463665
CA
261QP2000X
Physical Therapy Clinic/Center
06463665
CA
261QP3300X
Pain Clinic/Center
Primary
06463665
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
06463665
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
06463665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
CA
Enumeration date
03/23/2017
Last updated
03/23/2017
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