Cdcr-Pbsp
NPI #1437280153 in Crescent City, California
Provider Information
- NPI Number
- 1437280153
- Entity Type
- Organization
- Organization Name
- Cdcr-Pbsp
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5905 LAKE EARL DR
- City
- Crescent City
- State
- California
- ZIP Code
- 95532-0001
- Phone
- (707) 465-1000
Authorized Official
- Name
- MAUREEN MCLEAN
- Title
- HEALTH CARE MANAGER
- Phone
- (707) 465-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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