Provider Demographics
NPI:1457078875
Name:AKASHA TREATMENT CENTER
Entity Type:Organization
Organization Name:AKASHA TREATMENT CENTER
Other - Org Name:ONA TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:ALY'CE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MAD, RADT
Authorized Official - Phone:530-713-1993
Mailing Address - Street 1:PO BOX 806
Mailing Address - Street 2:
Mailing Address - City:BROWNS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95918-0806
Mailing Address - Country:US
Mailing Address - Phone:530-713-0811
Mailing Address - Fax:
Practice Address - Street 1:6041 BALD MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:BROWNS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95918-9591
Practice Address - Country:US
Practice Address - Phone:530-713-1993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility