| 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 |