Healthcare Provider Details

I. General information

NPI: 1861017204
Provider Name (Legal Business Name): BAY AREA COMMUNITY RESOURCES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 RANGE RD
PITTSBURG CA
94565-4646
US

IV. Provider business mailing address

11175 SAN PABLO AVE
EL CERRITO CA
94530-2157
US

V. Phone/Fax

Practice location:
  • Phone: 925-473-2480
  • Fax:
Mailing address:
  • Phone: 510-559-3009
  • Fax: 510-559-3069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HOCHMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 510-559-3012