| Bay Area Recovery Center | |
|
4316 Washington St Dickinson TX 77539-6641 | |
| (281) 957-9201 | |
| (281) 957-9195 |
| Full Name | Bay Area Recovery Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4316 Washington St, Dickinson, Texas |
| Authorized Official Name and Position | Jake White (MARKETING MANAGER) |
| Authorized Official Contact | 2813325428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Recovery Center 4316 Washington St Dickinson TX 77539-6641 Ph: (281) 957-9201 | Bay Area Recovery Center 4316 Washington St Dickinson TX 77539-6641 Ph: (281) 957-9201 |
| NPI Number | 1376658070 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376658070 | NPI | - | NPPES |
| 108120 | Other | TX | BHIPS ENTITY |
| 123079 | Other | TX | BHIPS ENTITY |
| 123053 | Other | TX | BHIPS ENTITY |
| 283930001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101YA0400X (Texas) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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