Organization
BAY AREA COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA MARIE FRYER (SR. DIRECTOR, QUALITY IMPROVEMENT)
(510) 318-6135
Entity
Organization
Contact information
Practice address
236 GEORGIA ST, SUITE 101, VALLEJO, CA 94590-5991
(510) 613-0330
Mailing address
1814 FRANKLIN ST FL 4, OAKLAND, CA 94612-3487
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01L2
—
CA
05
—
81951
—
CA
Enumeration date
08/14/2014
Last updated
05/01/2019
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