Ca Department of Corrections
NPI #1184960700 in Wasco, California
Provider Information
- NPI Number
- 1184960700
- Entity Type
- Organization
- Organization Name
- Ca Department of Corrections
- Primary Specialty
- Case Management
- Enumeration Date
- Dec 31, 2012
- Last Updated
- Jan 2, 2013
Practice Location
- Address
- 701 SCOFIELD AVE
- City
- Wasco
- State
- California
- ZIP Code
- 93280-7515
- Phone
- (661) 758-8400
Authorized Official
- Name
- DOUGLAS PETERSON, PH.D.
- Title
- CHIEF OF MENTAL HEALTH (ACTING)
- Phone
- (661) 758-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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