Organization
AH ADDICTION CARE PC
Active
Organization
AH ADDICTION CARE PC
Active
Other names
Anonymous Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DUSKEY (DIRECTOR, MARKET DEVELOPMENT)
(740) 350-3565
Entity
Organization
Contact information
Practice address
303 TWIN DOLPHIN DRIVE, SUITE 600 #6002, REDWOOD CITY, CA 94065-9406
(740) 350-3565
Mailing address
303 TWIN DOLPHIN DRIVE, SUITE 600 #6002, REDWOOD CITY, CA 94065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/06/2023
Last updated
11/29/2023
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