Provider Demographics
NPI:1619040581
Name:CONTRA COSTA COUNTY EMPLOYMENT AND HUMAN SERVICES-COMMUNITY SERVICES B
Entity Type:Organization
Organization Name:CONTRA COSTA COUNTY EMPLOYMENT AND HUMAN SERVICES-COMMUNITY SERVICES B
Other - Org Name:CONTRA COSTA-HEAD START
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-681-6301
Mailing Address - Street 1:2 CALIFORNIA STREET
Mailing Address - Street 2:ROOM #4
Mailing Address - City:RODEO
Mailing Address - State:CA
Mailing Address - Zip Code:94572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 CALIFORNIA STREET
Practice Address - Street 2:ROOM #4
Practice Address - City:RODEO
Practice Address - State:CA
Practice Address - Zip Code:94572
Practice Address - Country:US
Practice Address - Phone:925-957-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA07DZOtherMENTAL HEALTH