Organization
PASEO AVENUES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY TAZINYA (OWNER/CEO)
(301) 795-5206
Entity
Organization
Contact information
Practice address
901 NW 25TH ST, OKLAHOMA CITY, OK 73106-5619
(405) 724-8908
Mailing address
901 NW 25TH ST, OKLAHOMA CITY, OK 73106-5619
(405) 724-8908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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