| Bay Area Community Services Inc | |
|
236 Georgia St Vallejo CA 94590 | |
| (510) 876-2211 | |
| Not Available |
| Full Name | Bay Area Community Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 236 Georgia St, Vallejo, 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: () - | Bay Area Community Services Inc 236 Georgia St Vallejo CA 94590 Ph: (510) 876-2211 |
| NPI Number | 1295196426 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295196426 | NPI | - | NPPES |
| 48CG2 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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