Paragon Uc Support Services, Llo

NPI #1154106482 in Oswego, New York

Provider Information

NPI Number: 1154106482
Entity Type: Organization
Organization Name: Paragon Uc Support Services, Llo
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 25, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 77 E BRIDGE ST
Address 2: STE B
City: Oswego
State: New York
ZIP Code: 13126
Phone: (918) 406-2024

Authorized Official

Name: NICOLE A MIRJAFARI, MD
Title: PHYSICIAN OWNER
Phone: (918) 406-2024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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