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Organization
PIONEER HOME OUTREACH, INC.
Active
Organization
PIONEER HOME OUTREACH, INC.
Active
Other names
Pioneer Twelve Step Outpatient Youth Program
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE A OGANS (EXECUTIVE DIRECTOR)
(559) 781-8585
Entity
Organization
Contact information
Practice address
317 W HENDERSON AVE, PORTERVILLE, CA 93257-1732
(559) 781-8585
(559) 791-0183
Mailing address
317 W HENDERSON AVE, PORTERVILLE, CA 93257-1732
(559) 781-8585
(559) 791-0183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5442
MEDI-CAL
CA
Enumeration date
04/02/2007
Last updated
08/22/2020
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