Organization
PRIMER PASO INSTITUTE INC
Active
Other names
Angela's House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO VASQUEZ (CEO)
(559) 734-6042
Entity
Organization
Contact information
Practice address
1300 S CROWE ST, VISALIA, CA 93277-2106
(559) 734-5480
(559) 734-5783
Mailing address
310 N CHURCH ST, VISALIA, CA 93291-5009
(559) 734-6042
(559) 635-4788
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545402
—
CA
Enumeration date
06/08/2007
Last updated
08/22/2020
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