Provider Demographics
NPI:1740490846
Name:CENTER FOR HUMAN DEVELOPMENT
Entity type:Organization
Organization Name:CENTER FOR HUMAN DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:925-349-7333
Mailing Address - Street 1:901 SUNVALLEY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5817
Mailing Address - Country:US
Mailing Address - Phone:925-687-8844
Mailing Address - Fax:925-849-8177
Practice Address - Street 1:901 SUNVALLEY BLVD STE 220
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5817
Practice Address - Country:US
Practice Address - Phone:925-687-8844
Practice Address - Fax:925-849-8817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health