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CONTRA COSTA COUNTY NPI 1134207673


NPI Information

NPI: 1134207673
Provider Name: CONTRA COSTA COUNTY

Doing Business As: EAST COUNTY CHILDREN'S MENTAL HEALTH SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 05D0683109

Address:
2335 COUNTRY HILLS DR
ANTIOCH, CA
ZIP 94509
Phone: (925) 957-5429
Get Directions

CONTRA COSTA COUNTY is an adolescent and children mental health clinic center in Antioch, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CONTRA COSTA COUNTY NPI is 1134207673. The provider is registered as an organization entity type.
The provider Is Doing Business As East County Children's Mental Health Services.

The provider's business location address is:

2335 COUNTRY HILLS DR
ANTIOCH, CA
ZIP 94509-319
Phone: (925) 957-5429

The provider's authorized official is Patrick M. Godley .
The authorized official title is Coo Cfo and has the following contact phone number (925) 957-5405.

The CLIA number assigned to this NPI record is 05D0683109 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10791OTHERCALIFORNIAMENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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