Organization
PARADIGM TREATMENT TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WAGNER (CEO)
(310) 457-9008
Entity
Organization
Contact information
Practice address
11949 ESCARPMENT BLVD, AUSTIN, TX 78739-1549
(737) 400-4496
Mailing address
12424 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-1035
(310) 457-9008
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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