Provider Demographics
NPI:1295872315
Name:CONTRA COSTA COUNTY MENTAL HEALTH DIVISION
Entity type:Organization
Organization Name:CONTRA COSTA COUNTY MENTAL HEALTH DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH SPECIALIST II
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-330-2987
Mailing Address - Street 1:1733 SOUTH VILLA WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595
Mailing Address - Country:US
Mailing Address - Phone:925-330-2987
Mailing Address - Fax:925-287-1638
Practice Address - Street 1:1340 ARNOLD DR STE 200
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4189
Practice Address - Country:US
Practice Address - Phone:925-957-5142
Practice Address - Fax:925-957-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization