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NPI 1447705280

NPI 1447705280 : BAY AREA COMMUNITY SERVICES, INC. : VALLEJO, CA

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General NPI Number Information
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    NPI Number           |    1447705280
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAY AREA COMMUNITY SERVICES, INC. 
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Dates
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    Enumeration Date     |    08/22/2016
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    508 ALABAMA ST 
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    City                 |    VALLEJO
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    State                |    CA
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    Zip                  |    94590-4446
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    Country              |    US
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    Telephone            |    510-613-0330
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    Fax                  |    510-569-4589
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Provider Business Mailing Address
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    Address Line         |    629 OAKLAND AVE 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94611-4567
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    Country              |    US
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    Telephone            |    510-613-0330
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    Fax                  |    510-569-4589
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MS. JAMIE LEILANI ALMANZA 
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    Credential           |    MBA
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    Telephone            |    510-415-4672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    486803637
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    License Number State |    CA
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