Organization Name: | PARAGON BEHAVIORAL HEALTH, LLC |
NPI Number: | 1023135019 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDI SCHNUR (OWNER) |
Mailing Address: | 26 Chamberlain Hwy Kensington |
State: | CT US |
Postal Code: | 060371921 |
Phone Number: | 8608930040 |
Fax Number: | 8608930046 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 10/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |