Organization
CONTRA COSTA YOUTH SERVICE BUREAU
Active
Parent organization
CONTRA COSTA YOUTH SERVICE BUREAU
Other names
West Contra Costa Youth Service Bureau
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONTRA COSTA YOUTH SERVICE BUREAU
Authorized official
MILDRED NAIMA WALLS-JOHNSON LMFT (CLINICAL MANAGER OF OPERATIONS)
(510) 825-7994
Entity
Organization
Contact information
Practice address
700 W 1ST ST, ANTIOCH, CA 94509-1109
(925) 246-0300
(925) 246-0303
Mailing address
186 BROADWAY, RICHMOND, CA 94804-1949
(510) 215-4670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01919506
—
CA
Enumeration date
06/09/2008
Last updated
04/29/2025
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