| Contra Costa Youth Service Bureau | |
|
84 Broadway Richmond CA 94804-1910 | |
| (510) 231-7812 | |
| (510) 231-7812 |
| Full Name | Contra Costa Youth Service Bureau |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 84 Broadway, Richmond, California |
| Authorized Official Name and Position | Onna Alexander (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5104598287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contra Costa Youth Service Bureau 263 S 20th St Richmond CA 94804-2709 Ph: (510) 215-4670 | Contra Costa Youth Service Bureau 84 Broadway Richmond CA 94804-1910 Ph: (510) 231-7812 |
| NPI Number | 1487718409 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/06/2023 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487718409 | NPI | - | NPPES |
| 01919506 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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