Organization
ANKA BEHAVIORAL HEALTH, INC.
Active
Other names
Amador Tri-Valley Center
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M VYROSTEK (SENIOR QM MANAGER)
(925) 825-4700
Entity
Organization
Contact information
Practice address
2177 LAS POSITAS CT STE BC, LIVERMORE, CA 94551
(925) 265-6160
(925) 294-8920
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19200360
CCL
CA
Enumeration date
02/25/2014
Last updated
07/03/2018
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