Akua Behavioral Health, Inc
Organization Active NPI Methadone Clinic · San Diego, CA
NPI 1780153882 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1780153882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- AKUA BEHAVIORAL HEALTH, INC
- Practice address
- 2754 Imperial Ave
San Diego, CA 92102-4031 - Phone
- (949) 350-7125
- NPI assigned
- Nov 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenny Dewan
- Title
- Ceo
- Phone
- (949) 833-8100
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Akua Behavioral Health Inc
Locations
20271 SW Birch St
Ste 200
Newport Beach, CA 92660
Phone (562) 212-0521
2754 Imperial Ave
San Diego, CA 92102
Phone (949) 350-7125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
2754 Imperial Ave
San Diego, CA 92102-4031
Mailing address
20271 SW Birch St Ste 200
Newport Beach, CA 92660-1752
Phone (949) 833-8103
Other names
- ATS health
Other providers in San Diego, CA
- Evangeline Marie Akridge
- Natacha Akshoomoff
- Akua Behavioral Health, Inc
- Akua Behavioral Health, Inc
- Akua Behavioral Health, Inc
- Akua Behavioral Health, Inc
- Praveen Akuthota
- Najwan Noori Al Ani
- Sarah Wameedh Al Azzawi
- Sultan Ahmed Abdulsattar Al Azzawi
All providers in San Diego, CA · Methadone Clinic in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.