Provider Demographics
NPI:1841500816
Name:AFGHAN COALITION
Entity type:Organization
Organization Name:AFGHAN COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MASOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:JUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-331-2337
Mailing Address - Street 1:39155 LIBERTY STREET STE D460
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538
Mailing Address - Country:US
Mailing Address - Phone:510-745-1680
Mailing Address - Fax:510-745-1684
Practice Address - Street 1:39155 LIBERTY STREET STE D460
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538
Practice Address - Country:US
Practice Address - Phone:510-745-1680
Practice Address - Fax:510-745-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health