Organization
ANANDA INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY FRAGA PSY.D (CLINICAL DIRECTOR)
(707) 544-4441
Entity
Organization
Contact information
Practice address
401 S A ST, SANTA ROSA, CA 95401-8518
(707) 544-4441
(707) 544-4492
Mailing address
401 S A ST, SANTA ROSA, CA 95401-8518
(707) 544-4441
(707) 544-4492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
06/30/2008
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