Organization
ANKA BEHAVIORAL HEALTH, INC.
Active
Organization
ANKA BEHAVIORAL HEALTH, INC.
Active
Other names
Evelyn Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NZINGA HARRISON MD (CHIEF MEDICAL OFFICER)
(925) 825-4700
Entity
Organization
Contact information
Practice address
2507 EVELYN AVE, ROSEMEAD, CA 91770
(626) 573-5902
(626) 573-9467
Mailing address
3480 BUSKIRK AVE STE 300, PLEASANT HILL, CA 94523-4343
(925) 825-4700
(925) 825-2610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197805304
CCL
CA
Enumeration date
03/11/2014
Last updated
07/05/2018
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