Organization
ANKA BEHAVIORAL HEALTH,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNESSA JEAN JOHNSON (PROGRAM ADMINSTRATOR)
(510) 232-7571
Entity
Organization
Contact information
Practice address
1515 MARKET AVE, SAN PABLO, CA 94806-4357
(510) 232-7571
Mailing address
1515 MARKET AVE, SAN PABLO, CA 94806-4357
(510) 232-7571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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