Provider Demographics
NPI:1477884260
Name:ANKA BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:ANKA BEHAVIORAL HEALTH, INC.
Other - Org Name:ANKA AKRON VETERANS
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR QUALITY MANAGEMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VYROSTEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-825-4700
Mailing Address - Street 1:1850 GATEWAY BLVD
Mailing Address - Street 2:STE 900
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-3279
Mailing Address - Country:US
Mailing Address - Phone:925-825-4700
Mailing Address - Fax:
Practice Address - Street 1:3258 RINGLE RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:MI
Practice Address - Zip Code:48701-9519
Practice Address - Country:US
Practice Address - Phone:989-691-8420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health