Healthcare Provider Details

I. General information

NPI: 1477470722
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 LOVERIDGE RD
PITTSBURG CA
94565-5019
US

IV. Provider business mailing address

50 DOUGLAS DR STE 310
MARTINEZ CA
94553-4003
US

V. Phone/Fax

Practice location:
  • Phone: 925-957-5429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: ROBERT H DECESARE
Title or Position: FISCAL MANAGER
Credential:
Phone: 925-957-5429