San Quentin State Prison

NPI #1497156285 in Kentfield, California

Provider Information

NPI Number: 1497156285
Entity Type: Organization
Organization Name: San Quentin State Prison
Primary Specialty: Case Management
Enumeration Date: Sep 11, 2014
Last Updated: Sep 11, 2014

Practice Location

Address: 59 ALMENAR DR
City: Kentfield
State: California
ZIP Code: 94904-1143
Phone: (454) 500-0415

Authorized Official

Name: DR. ERIC MONTHEI, PSY. D
Title: CHIEF OF MENTAL HEALTH
Phone: (454) 500-0415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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