Organization · NPI-2

Ah Addiction Care PC

Family Medicine, Addiction Medicine · Redwood City, CA

NPI number1295516128
StatusActive
Last updated in NPPESNov 29, 2023

Details

NPI
1295516128
Entity type
Organization (NPI-2)
Legal business name
Ah Addiction Care PC
Organization subpart
No
Enumeration date
Oct 6, 2023
Certification date
Nov 29, 2023
Last updated
Nov 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0401X Family Medicine, Addiction Medicine––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)––
363LP0808X Nurse Practitioner, Psych/Mental Health––
163WP0809X Registered Nurse, Psych/Mental Health, Adult––
207Q00000X Family Medicine––

Other names

  • Anonymous Health (Doing Business As)

Practice location

303 Twin Dolphin Drive
Suite 600 #6002
Redwood City, CA 94065-9406

Phone 740-350-3565

Mailing address

303 Twin Dolphin Drive
Suite 600 #6002
Redwood City, CA 94065

Other practice locations

721 Depot Dr
Anchorage, AK 99501-1615

Phone 740-350-3565

2900 Nw Clearwater Dr Ste 200-109
Bend, OR 97703-9410

Phone 740-350-3565

Authorized official

Joshua Duskey
Director, Market Development
7403503565

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