Organization
ANKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN RUIZ (MHRW)
(805) 607-1487
Entity
Organization
Contact information
Practice address
744 COLUMBIA DR, OXNARD, CA 93033-6549
(805) 607-1487
Mailing address
744 COLUMBIA DR, OXNARD, CA 93033-6549
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
07/21/2022
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