Provider Demographics
NPI:1992345284
Name:PARADIGM TREATMENT CENTERS, LLC
Entity type:Organization
Organization Name:PARADIGM TREATMENT CENTERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RCM
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-457-6300
Mailing Address - Street 1:12424 WILSHIRE BLVD STE 750
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1079
Mailing Address - Country:US
Mailing Address - Phone:310-457-6300
Mailing Address - Fax:310-457-6318
Practice Address - Street 1:53 DUNFRIES TER
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-2415
Practice Address - Country:US
Practice Address - Phone:415-785-4452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARADIGM TREATMENT CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-14
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children