Organization
BAY AREA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE WHITE (MARKETING MANAGER)
(281) 332-5428
Entity
Organization
Contact information
Practice address
4316 WASHINGTON ST, DICKINSON, TX 77539-6641
(281) 957-9201
(281) 957-9195
Mailing address
4316 WASHINGTON ST, DICKINSON, TX 77539-6641
(281) 957-9201
(281) 957-9195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
TX
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108120
BHIPS ENTITY
TX
01
—
123053
BHIPS ENTITY
TX
01
—
123079
BHIPS ENTITY
TX
05
—
283930001
—
TX
Enumeration date
08/20/2006
Last updated
03/18/2020
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