Provider Demographics
NPI:1124581004
Name:BAY AREA COMMUNITY RESOURCES, INC
Entity Type:Organization
Organization Name:BAY AREA COMMUNITY RESOURCES, INC
Other - Org Name:MENTAL HEALTH- RIVERSIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PROGRAM OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:BLASKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-755-2311
Mailing Address - Street 1:11175 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2157
Mailing Address - Country:US
Mailing Address - Phone:510-559-3009
Mailing Address - Fax:510-559-3069
Practice Address - Street 1:1300 AMADOR ST
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-4094
Practice Address - Country:US
Practice Address - Phone:510-231-1409
Practice Address - Fax:510-237-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health