Pangallos House of Care Counseling Center
Organization Active NPI Community/Behavioral Health Agency · Sun Valley, NV
NPI 1356714489 · NPPES record last updated Nov 11, 2015
Key facts
- NPI
- 1356714489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- NV20151486527 (NV)
- Legal business name
- PANGALLOS HOUSE OF CARE COUNSELING CENTER
- Practice address
- 295 Stone Corral Dr
Sun Valley, NV 89433-7126 - Phone
- (530) 310-0830
- NPI assigned
- Nov 11, 2015
- Organization subpart
- No
Authorized official
- Name
- John Joseph Pangallo, M.S.
- Title
- Partner
- Phone
- (530) 310-0830
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV20151486527 | NV | Yes |
Addresses
Primary practice location
295 Stone Corral Dr
Sun Valley, NV 89433-7126
Mailing address
295 Stone Corral Dr
Sun Valley, NV 89433-7126
Phone (530) 310-0830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588842132 | Medicaid | CA | |
| 1356789986 | Medicaid | NV | |
| 1568653905 | Medicaid | CA | |
| 1669856423 | Medicaid | CA |
Other providers in Sun Valley, NV
- Jessica Ranae Mathews
- Brigit Ann McGurk
- Bailey Ray McKenzie
- Ashlie Moyer
- Bruce A Nigro
- Joel Paniagua Soto
- Mary Parks
- Natali Perez
- Raquel Ramirez
- Ashley Reese
All providers in Sun Valley, NV · Community/Behavioral Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.