Organization
ANKA BEHAVIORAL HEALTH, INC.
Active
Other names
Amador Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN HAHN-SMITH (VP OF QUALITY MANAGEMENT)
(925) 825-4700
Entity
Organization
Contact information
Practice address
7137 AMADOR VALLEY BLVD, DUBLIN, CA 94568
(925) 265-6040
(925) 551-8924
Mailing address
3480 BUSKIRK AVE STE 300, PLEASANT HILL, CA 94523-4343
(925) 825-4700
(925) 825-2610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
019200339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19200339
CCL
CA
Enumeration date
03/04/2014
Last updated
07/03/2018
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