| Bay Area Community Services, Inc. | |
|
345 E Travis Blvd Fairfield CA 94533-3958 | |
| (510) 613-0330 | |
| (510) 569-4589 |
| Full Name | Bay Area Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 345 E Travis Blvd, Fairfield, California |
| Authorized Official Name and Position | Hanan Katz-lewis (COMPLIANCE MANAGER) |
| Authorized Official Contact | 4153171071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Services, Inc. 390 40th St Oakland CA 94609-2633 Ph: (510) 613-0330 | Bay Area Community Services, Inc. 345 E Travis Blvd Fairfield CA 94533-3958 Ph: (510) 613-0330 |
| NPI Number | 1033947569 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033947569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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