Basic Information
| Provider Information | |||||||||
| NPI: | 1609505668 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAY AREA COMMUNITY SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 390 40TH ST | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946092633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106130330 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4600 47TH AVENUE | ||||||||
| Address2: | SUITE 111 AND 211 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958243923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106130330 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2022 | ||||||||
| LastUpdateDate: | 06/06/2022 | ||||||||
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| AuthorizedOfficialLastName: | KATZ-LEWIS | ||||||||
| AuthorizedOfficialFirstName: | HANAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | COMPLIANCE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4153171071 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.