| Bay Area Community Resources, Inc | |
|
11175 San Pablo Ave El Cerrito CA 94530 | |
| (510) 559-3089 | |
| (510) 559-3087 |
| Full Name | Bay Area Community Resources, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11175 San Pablo Ave, El Cerrito, California |
| Authorized Official Name and Position | Martin Weinstein (CEO) |
| Authorized Official Contact | 5105595550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Community Resources, Inc 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 559-3089 | Bay Area Community Resources, Inc 11175 San Pablo Ave El Cerrito CA 94530 Ph: (510) 559-3089 |
| NPI Number | 1356478143 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356478143 | NPI | - | NPPES |
| 4004 | Other | CA | MEDI-CAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16013 (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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