Healthcare Provider Details

I. General information

NPI: 1023188489
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD
CONCORD CA
94520-5823
US

IV. Provider business mailing address

50 DOUGLAS DR STE 310
MARTINEZ CA
94553-4003
US

V. Phone/Fax

Practice location:
  • Phone: 925-646-5480
  • Fax: 925-646-5622
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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