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
136 VALDIVIA CIR, SAN RAMON, CA 94583-2228
(925) 901-0219
(925) 901-1300
Mailing address
PO BOX 626, SAN RAMON, CA 94583-0626
(925) 901-0219
(925) 901-1300
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
07/26/2023
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