Provider Demographics
NPI:1548941081
Name:PARAMOUNT RECOVERY CENTER LLC
Entity type:Organization
Organization Name:PARAMOUNT RECOVERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY AND COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:TROP-ZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-642-8874
Mailing Address - Street 1:1113 E GURLEY ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3309
Mailing Address - Country:US
Mailing Address - Phone:928-370-3523
Mailing Address - Fax:
Practice Address - Street 1:1113 E GURLEY ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3309
Practice Address - Country:US
Practice Address - Phone:928-370-3523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health