NPI 1538603683

Paragon Residential Treatment for Youth LLC

Organisation Psychiatric Residential Treatment Facility Maple Grove, MN

Practice location

Address: 12915 63rd Ave N, Maple Grove, MN 55369-6001
Phone: (952) 826-8420

Authorised official

Name: Randall Drager
Title: Chief Financial Officer
Phone: (763) 762-6809

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Minnesota →

Registry record

NPI: 1538603683
Entity type: Organization
NPI issued: 8 Dec 2016
Record last updated: 8 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.