Organization
PARADISE DETOX, INC
Active
Other names
Paradise Detox, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT NIZNIK (CEO)
(855) 756-2013
Entity
Organization
Contact information
Practice address
5935 JOEL LN, LA MESA, CA 91942-4101
(855) 756-2013
Mailing address
1515 NW 167TH ST STE 300, MIAMI, FL 33169-5106
(786) 923-3376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/17/2017
Last updated
06/04/2020
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