Organization · Type 2 NPI

Contra Costa County

Mental Health Clinic/Center (Including Community Mental Health Center) · Martinez, CA

NPI number 1124198700 Active

Practice location

202 Glacier Dr
Martinez, CA 94553-4826

Call (925) 957-5429 Map

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

27 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Martinez

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NPI record

NPI: 1124198700
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Oct 9, 2025
Status: Active
Subpart: Yes of Contra Costa County

Other names

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Juvenile Probation Mental Health Services · doing business as
Juvenile Probation Mental Health Services · doing business as

Authorized official

David D. Lee, MBA, FHFMA
Deputy CFO
(925) 957-5445

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124198700

Contra Costa County's National Provider Identifier is 1124198700, issued on Nov 9, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Martinez, CA. The record was last updated on Oct 9, 2025.