NPI | 1811605637 |
---|---|
Doing Business As | ANZA WELLNESS & RECOVERY |
Entity Type | Organization |
Authorized Contact | CALEB MAUTI REID CEO 408-999-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
225100000X Physical Therapist | |
261QM0801X | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
Enumeration Date | 2022-11-10 |
Last Update Date | 2024-04-23 |