Healthcare Provider Details

I. General information

NPI: 1487782991
Provider Name (Legal Business Name): ANKA BEHAVIORAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 WEST 4TH STREET
ANTIOCH CA
94509
US

IV. Provider business mailing address

1850 GATEWAY BLVD STE 900
CONCORD CA
94520-8414
US

V. Phone/Fax

Practice location:
  • Phone: 925-778-3750
  • Fax: 925-778-7412
Mailing address:
  • Phone: 925-825-4700
  • Fax: 925-825-2610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. NZINGA HARRISON
Title or Position: CHIEF MEDICAL OFFICER
Credential: MD
Phone: 925-825-4700