=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447509351
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONTRA COSTA COUNTY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/06/2012
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 391 TAYLOR BLVD STE 100
-----------------------------------------------------
City | PLEASANT HILL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94523-2289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-608-6550
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------