Contra Costa Youth Service Bureau | |
700 W 1st St Antioch CA 94509-1109 | |
(925) 246-0300 | |
(925) 246-0303 |
Full Name | Contra Costa Youth Service Bureau |
---|---|
Speciality | Community/behavioral Health |
Location | 700 W 1st St, Antioch, California |
Authorized Official Name and Position | Onna Alexander (CLINICAL DIRECTOR) |
Authorized Official Contact | 5102317812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Contra Costa Youth Service Bureau 700 W 1st St Antioch CA 94509-1109 Ph: (510) 459-8287 | Contra Costa Youth Service Bureau 700 W 1st St Antioch CA 94509-1109 Ph: (925) 246-0300 |
NPI Number | 1619136132 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 12/04/2023 |
Certification Date | 11/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619136132 | NPI | - | NPPES |
01919506 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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