Provider Demographics
NPI:1013434729
Name:MND GLOBAL HEALTH
Entity Type:Organization
Organization Name:MND GLOBAL HEALTH
Other - Org Name:PARADISE BEHAVIORAL HEALTH RESIDENTIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIPAPE
Authorized Official - Suffix:
Authorized Official - Credentials:BHT MPH
Authorized Official - Phone:602-544-6075
Mailing Address - Street 1:6238 W SOUTHGATE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-1908
Mailing Address - Country:US
Mailing Address - Phone:602-544-6075
Mailing Address - Fax:
Practice Address - Street 1:6238 W SOUTHGATE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-1908
Practice Address - Country:US
Practice Address - Phone:602-544-6075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness