Organization
BRIGHT BAY PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STANTON PHD (PRESIDENT)
(415) 689-4535
Entity
Organization
Contact information
Practice address
391 HAAS AVE, SAN LEANDRO, CA 94577-3736
(415) 689-4535
Mailing address
1271 WASHINGTON AVE STE 123, SAN LEANDRO, CA 94577-3646
(415) 689-4535
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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