Organization
ANKA BHI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MARIE CLARK PSYD (PROGRAM ADMINISTRATOR)
(925) 778-3750
Entity
Organization
Contact information
Practice address
1401 W 4TH ST, ANTIOCH, CA 94509-1024
(925) 778-3750
(925) 778-7412
Mailing address
1401 W 4TH ST, ANTIOCH, CA 94509-1024
(925) 778-3750
(925) 778-7412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3002150
CA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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