Bay Area Community Resources, Inc. | |
361 3rd St Suite G San Rafael CA 94901-3541 | |
(415) 258-4944 | |
(415) 258-4943 |
Full Name | Bay Area Community Resources, Inc. |
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Speciality | Community/behavioral Health |
Location | 361 3rd St, 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 |
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Bay Area Community Resources, Inc. 171 Carlos Dr San Rafael CA 94903-2005 Ph: (415) 444-5580 | Bay Area Community Resources, Inc. 361 3rd St Suite G San Rafael CA 94901-3541 Ph: (415) 258-4944 |
NPI Number | 1508173030 |
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Provider Enumeration Date | 09/03/2010 |
Last Update Date | 08/02/2021 |
Certification Date | 08/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508173030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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