Paradise Lodge LLC
NPI #1952177115 in Maricopa, Arizona
Provider Information
- NPI Number
- 1952177115
- Entity Type
- Organization
- Organization Name
- Paradise Lodge LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 29, 2023
- Last Updated
- Nov 29, 2023
Practice Location
Authorized Official
- Name
- ERNEST K AMPONSAH
- Title
- ADMINISTRATOR
- Phone
- (224) 595-0112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Case Management |
| Clinic/Center - Health Service — Health Service |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Primary Care — Primary Care |
| Community/Behavioral Health |
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