Healthcare Provider Details

I. General information

NPI: 1265344477
Provider Name (Legal Business Name): BAY AREA RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MORAGA WAY STE 6
ORINDA CA
94563-3037
US

IV. Provider business mailing address

51 MORAGA WAY STE 6
ORINDA CA
94563-3037
US

V. Phone/Fax

Practice location:
  • Phone: 925-399-4744
  • Fax:
Mailing address:
  • Phone: 925-399-4744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EILEEN NICHOLS
Title or Position: EXECUTIVE DIRECTION
Credential: MA
Phone: 415-996-3956