Organization
ANKA BEHAVIORAL HEALTH INCORPORATED
Active
Other names
Casa Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NZINGA HARRISON (CHIEF MEDICAL OFFICER)
(925) 825-4700
Entity
Organization
Contact information
Practice address
740 HOLLYHOCK DR, SAN LEANDRO, CA 94578
(510) 670-9880
Mailing address
3480 BUSKIRK AVE STE 300, PLEASANT HILL, CA 94523-4343
(925) 825-4700
(925) 825-0816
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
019200409
CA
323P00000X
Psychiatric Residential Treatment Facility
019200409
CA
Other
Enumeration date
10/20/2010
Last updated
07/03/2018
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