| Bay Area Community Resources | |
|
171 Carlos Dr San Rafael CA 94903-2005 | |
| (415) 444-5580 | |
| (415) 444-5598 |
| Full Name | Bay Area Community Resources |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 171 Carlos Dr, 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 171 Carlos Dr San Rafael CA 94903-2005 Ph: (415) 444-5580 | Bay Area Community Resources 171 Carlos Dr San Rafael CA 94903-2005 Ph: (415) 444-5580 |
| NPI Number | 1770656704 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770656704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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