Healthcare Provider Details

I. General information

NPI: 1124596333
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 STANWELL DR STE 104
CONCORD CA
94520-4857
US

IV. Provider business mailing address

50 DOUGLAS DR STE 310
MARTINEZ CA
94553-4003
US

V. Phone/Fax

Practice location:
  • Phone: 925-655-4961
  • Fax:
Mailing address:
  • Phone: 925-957-5400
  • Fax:

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: DAVID D. LEE
Title or Position: DEPUTY CFO
Credential: MBA, FHFMA
Phone: 925-957-5445