Organization Active NPI

Reach to Win Youth Home & Family Services Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Antioch, CA
National Provider Identifier
1063242469
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
REACH TO WIN YOUTH HOME & FAMILY SERVICES INC
Practice address
4709 Palomino Way
Antioch, CA 94531-9309
Phone
(925) 206-4791
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Culbertson
Title
Executive Director
Phone
(323) 819-0962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4709 Palomino Way
Antioch, CA 94531-9309

Mailing address

6660 Lone Tree Way # 4-408
Brentwood, CA 94513-5370
Phone (925) 206-4791

National Provider Directory

National Provider Directory

Locations

6660 Lone Tree Way
#4408
Brentwood, CA 94513
Phone (310) 902-2487

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1063242469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY # 4-408",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135370",
            "telephone_number": "925-206-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 PALOMINO WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319309",
            "telephone_number": "925-206-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH TO WIN YOUTH HOME & FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-819-0962"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.