Corrections and Rehabilitation-Headquarters
NPI #1396169405 in Elk Grove, California
Provider Information
- NPI Number
- 1396169405
- Entity Type
- Organization
- Organization Name
- Corrections and Rehabilitation-Headquarters
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Feb 10, 2014
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 8280 LONG LEAF DRIVE
- Address 2
- D2-406
- City
- Elk Grove
- State
- California
- ZIP Code
- 95758
- Phone
- (916) 691-5749
Authorized Official
- Name
- PIERRE CAESARE SAUCIER JAMES
- Title
- STAFF SERVICES MANAGER I
- Phone
- (510) 780-6997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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