| Bay Area Community Resources, Inc | |
|
3240 Kerner Blvd San Rafael CA 94901-4840 | |
| (415) 755-2345 | |
| (415) 755-2235 |
| Full Name | Bay Area Community Resources, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3240 Kerner Blvd, San Rafael, California |
| Authorized Official Name and Position | Donald Bruce Blasky (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 4157552311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Resources, Inc 171 Carlos Dr San Rafael CA 94903-2005 Ph: (415) 444-5580 | Bay Area Community Resources, Inc 3240 Kerner Blvd San Rafael CA 94901-4840 Ph: (415) 755-2345 |
| NPI Number | 1093073876 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093073876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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