Provider Demographics
NPI:1386948297
Name:ANKA BEHAVIORAL HEALTH INC.
Entity type:Organization
Organization Name:ANKA BEHAVIORAL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL TRAINING
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:925-825-4700
Mailing Address - Street 1:1504 DEER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3253
Mailing Address - Country:US
Mailing Address - Phone:650-743-1473
Mailing Address - Fax:
Practice Address - Street 1:5149 WINSTON CT
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6523
Practice Address - Country:US
Practice Address - Phone:510-494-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health