Organization · Type 2 NPI

Contra Costa Youth Service Bureau

Community/Behavioral Health Agency · Antioch, CA

NPI number 1619136132 Active

Practice location

700 W 1st St
Antioch, CA 94509-1109

Call (925) 246-0300 Map

Fax (925) 246-0303

Mailing address

186 Broadway
Richmond, CA 94804-1949

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Another provider at this address

Latanya Monique HoustonRehabilitation Practitioner Antioch, CA NPI 1780886432

Other community/behavioral health agency providers in Antioch

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NPI record

NPI: 1619136132
Entity type: Organization (Type 2)
Issued: Jun 9, 2008
Last updated: Apr 29, 2025
Status: Active
Subpart: Yes of Contra Costa Youth Service Bureau

Other names

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West Contra Costa Youth Service Bureau · former legal business name

Authorized official

Mildred Naima Walls-Johnson, LMFT
Clinical Manager of Operations
(510) 825-7994

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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 1619136132

Contra Costa Youth Service Bureau's National Provider Identifier is 1619136132, issued on Jun 9, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Antioch, CA. The record was last updated on Apr 29, 2025.