MEDICARE: BAY RECOVERY CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103T00000X	Psychologist
2	106H00000X	Marriage & Family Therapist
3	163W00000X	Registered Nurse
4	374U00000X	Home Health Aide
5	261Q00000X	Clinic/Center	CA
6	261QI0500X	Infusion Therapy Clinic/Center
7	261QP3300X	Pain Clinic/Center
8	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
9	261QM0850X	Adult Mental Health Clinic/Center
10	261QP2000X	Physical Therapy Clinic/Center
11	261QP2300X	Primary Care Clinic/Center
12	101Y00000X	Counselor
13	101YA0400X	Addiction (Substance Use Disorder) Counselor
14	101YM0800X	Mental Health Counselor
15	104100000X	Social Worker

General Provider Information

NPI Number	:	1780776708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY RECOVERY CENTERS, INC.

Provider Business Mailing Address
First Line	:	4241 JUTLAND DR
Second Line	:	SUITE 103
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3663
Country	:	US
Telephone Number	:	858-490-3460
Fax Number	:	858-490-3462

Provider Business Practice Location Address
First Line	:	2206 BALBOA AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-4735
Country	:	US
Telephone Number	:	858-274-6633
Fax Number	:	858-274-6643

Authorized Official
Title or Position	:	CEO
Name	:	MR. ANTHONY HILL
Credential	:	PHD
Telephone Number	:	858-490-3460

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/11/2025

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