| Bay Area Community Services, Inc | |
|
559 16th St Oakland CA 94612 | |
| (510) 613-0330 | |
| Not Available |
| Full Name | Bay Area Community Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 559 16th St, Oakland, California |
| Authorized Official Name and Position | Michael Stanton Ward (SENIOR DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 5102197451 |
| 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 559 16th St Oakland CA 94612 Ph: (510) 613-0330 |
| NPI Number | 1952697732 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952697732 | NPI | - | NPPES |
| 01EM2 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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