Provider Demographics
NPI:1841504263
Name:PARADIGM, INC.
Entity type:Organization
Organization Name:PARADIGM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:TREMAIN
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-561-8112
Mailing Address - Street 1:PO BOX 31091
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-1091
Mailing Address - Country:US
Mailing Address - Phone:252-561-8112
Mailing Address - Fax:252-561-7455
Practice Address - Street 1:4054 S MEMORIAL DR
Practice Address - Street 2:SUITE J&K
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-5839
Practice Address - Country:US
Practice Address - Phone:252-561-8112
Practice Address - Fax:252-561-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty