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Bay Area Community Resources, Inc

Organization Active NPI Community/Behavioral Health Agency · Crockett, CA

NPI 1417410093 · NPPES record last updated Aug 2, 2021

Key facts

NPI
1417410093
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
BAY AREA COMMUNITY RESOURCES, INC
Practice address
1099 Pomona St
Crockett, CA 94525-1427
Phone
(510) 787-1081
Fax
(510) 787-2359
NPI assigned
Apr 10, 2019
Organization subpart
No

Authorized official

Name
Donald Bruce Blasky
Title
Chief Program Officer
Phone
(415) 755-2311

Corporate family (same tax ID) 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Raj Patel Student in an Organized Health Care Education/Training Program · Crockett, CA · NPI 1508396409
    NPD (past)

National Provider Directory

Tax ID family
Bay Area Community Resources Inc (46 organizations share this tax ID)

Locations

1099 Pomona St
Crockett, CA 94525
Phone (510) 787-1081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1099 Pomona St
Crockett, CA 94525-1427

Mailing address

11175 San Pablo Ave
El Cerrito, CA 94530-2157
Phone (510) 599-3009

Other names

  • Carquinez MS Doing business as

Other providers in Crockett, CA

All providers in Crockett, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.