Provider Demographics
NPI:1578234225
Name:PARAMOUNT ADDICTION TREATMENT LLC
Entity Type:Organization
Organization Name:PARAMOUNT ADDICTION TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-318-4270
Mailing Address - Street 1:120 TURNPIKE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-2140
Mailing Address - Country:US
Mailing Address - Phone:603-630-9023
Mailing Address - Fax:
Practice Address - Street 1:120 TURNPIKE RD STE 110
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-2140
Practice Address - Country:US
Practice Address - Phone:603-630-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility