Healthcare Provider Details

I. General information

NPI: 1679438444
Provider Name (Legal Business Name): ANCHOR HEALTH MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 S ORCHARD AVE STE B
UKIAH CA
95482-5022
US

IV. Provider business mailing address

531 S ORCHARD AVE STE B
UKIAH CA
95482-5022
US

V. Phone/Fax

Practice location:
  • Phone: 707-472-0350
  • Fax:
Mailing address:
  • Phone: 707-472-0350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ALICIA J LOGAN
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 707-472-0350