| Primer Paso Institute, Inc. | |
|
310 N Church St Visalia CA 93291-5009 | |
| (559) 734-6042 | |
| (559) 635-4788 |
| Full Name | Primer Paso Institute, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 310 N Church St, Visalia, California |
| Authorized Official Name and Position | Ricardo Vasquez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5597346042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primer Paso Institute, Inc. 310 N Church St Visalia CA 93291-5009 Ph: (559) 734-6042 | Primer Paso Institute, Inc. 310 N Church St Visalia CA 93291-5009 Ph: (559) 734-6042 |
| NPI Number | 1316080609 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316080609 | NPI | - | NPPES |
| 545402 | Medicaid | CA | |
| 545416 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5416 (California) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 540009CN (California) | Primary |
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