Pangallos House Of Care Counseling Center | |
295 Stone Corral Dr Sun Valley NV 89433-7126 | |
(530) 310-0830 | |
Not Available |
Full Name | Pangallos House Of Care Counseling Center |
---|---|
Speciality | Community/behavioral Health |
Location | 295 Stone Corral Dr, Sun Valley, Nevada |
Authorized Official Name and Position | John Joseph Pangallo (PARTNER) |
Authorized Official Contact | 5303100830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pangallos House Of Care Counseling Center 295 Stone Corral Dr Sun Valley NV 89433-7126 Ph: (530) 310-0830 | Pangallos House Of Care Counseling Center 295 Stone Corral Dr Sun Valley NV 89433-7126 Ph: (530) 310-0830 |
NPI Number | 1356714489 |
---|---|
Provider Enumeration Date | 11/11/2015 |
Last Update Date | 11/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356714489 | NPI | - | NPPES |
1588842132 | Medicaid | CA | |
1356789986 | Medicaid | NV | |
1568653905 | Medicaid | CA | |
1669856423 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | NV20151486527 (Nevada) | Primary |