NPI Code Details Logo

NPI 1023188489

NPI 1023188489 : CONTRA COSTA COUNTY : CONCORD, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023188489
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CONTRA COSTA COUNTY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/09/2006
-----------------------------------------------------
    Last Update Date     |    10/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1420 WILLOW PASS RD 
-----------------------------------------------------
    City                 |    CONCORD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94520-5823
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-646-5480
-----------------------------------------------------
    Fax                  |    925-646-5622
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    50 DOUGLAS DR STE 310 
-----------------------------------------------------
    City                 |    MARTINEZ
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94553-4003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DEPUTY CFO
-----------------------------------------------------
    Name                 |     DAVID D. LEE 
-----------------------------------------------------
    Credential           |    MBA, FHFMA
-----------------------------------------------------
    Telephone            |    925-957-5445
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.