Provider Demographics
NPI:1609336429
Name:BAY AREA COMMUNITY RESOURCES, INC
Entity Type:Organization
Organization Name:BAY AREA COMMUNITY RESOURCES, INC
Other - Org Name:MENTAL HEALTH-CORONADO
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 1:2100 MAINE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-2736
Practice Address - Country:US
Practice Address - Phone:510-231-1419
Practice Address - Fax:510-215-4181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health