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Organization

BAY AREA ADDICTION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMANDA KIGHT LAADC, CARN, RN (FOUNDER, CEO)
(800) 913-7917
Entity
Organization

Contact information

Practice address
2039 FOREST AVE STE 201, SAN JOSE, CA 95128-4815
(800) 913-7917
(866) 828-6869
Mailing address
270 PALM VALLEY BLVD APT 105, SAN JOSE, CA 95123-1047
(800) 913-7917

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary

Other

Enumeration date
05/15/2019
Last updated
05/15/2019
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