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Organization

BAY AREA COMMUNITY RESOURCES, INC.

Active
Other names
Phoenix Academy
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD BRUCE BLASKY (CHIEF PROGRAM OFFICER)
(415) 755-2311
Entity
Organization

Contact information

Practice address
160B N SAN PEDRO RD, RM 7 AND RM9, SAN RAFAEL, CA 94903-4206
(415) 491-0218
Mailing address
171 CARLOS DR, SAN RAFAEL, CA 94903-2005
(415) 444-5580

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/11/2007
Last updated
08/02/2021
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