Healthcare Provider Details
I. General information
NPI: 1609431014
Provider Name (Legal Business Name): VAYA ADDICTION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
945 UNIVERSITY AVE STE 101
SACRAMENTO CA
95825-6712
US
IV. Provider business mailing address
PO BOX 661539
SACRAMENTO CA
95866-1539
US
V. Phone/Fax
- Phone: 916-947-2944
- Fax:
- Phone: 916-947-2944
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAUDE
E
ARNETT
Title or Position: CEO
Credential: MD
Phone: 916-947-2944