Organization · Type 2 NPI

Paradise Lodge LLC

Substance Abuse Rehabilitation Facility · Maricopa, AZ

NPI number 1093386450 Active

Practice location

43858 W Lindgren Dr
Maricopa, AZ 85138-5523

Call (520) 246-5998 Map

Fax (520) 246-5994

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1093386450

Paradise Lodge LLC's National Provider Identifier is 1093386450, issued on Jul 7, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Maricopa, AZ. The record was last updated on Jul 7, 2021.