Organization
PANGALLOS HOUSE OF CARE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH PANGALLO M.S. (PARTNER)
(530) 310-0830
Entity
Organization
Contact information
Practice address
295 STONE CORRAL DR, SUN VALLEY, NV 89433-7126
(530) 310-0830
Mailing address
295 STONE CORRAL DR, SUN VALLEY, NV 89433-7126
(530) 310-0830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20151486527
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356789986
—
NV
05
—
1568653905
—
CA
05
—
1588842132
—
CA
05
—
1669856423
—
CA
Enumeration date
11/11/2015
Last updated
11/11/2015
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