Organization
CONTRA COSTA YOUTH SERVICE BUREAU
Active
Other names
WEST CONTRA COSTA YOUTH SERVICE BUREAU
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED NAIMA WALLS-JOHNSON LMFT (CLINICAL MANAGER OF OPERATIONS)
(510) 825-7994
Entity
Organization
Contact information
Practice address
84 BROADWAY, RICHMOND, CA 94804-1910
(510) 231-7812
(510) 231-7812
Mailing address
186 BROADWAY, RICHMOND, CA 94804-1949
(510) 215-4670
(510) 215-9713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01919506
—
CA
Enumeration date
12/21/2006
Last updated
04/29/2025
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