# CA DEPARTMENT OF CORRECTIONS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184960700
- **Authorized official:** DOUGLAS PETERSON PH.D. (CHIEF OF MENTAL HEALTH (ACTING))
- **Authorized official phone:** (661) 758-8400

## Contact information

- **Practice address:** 701 SCOFIELD AVE, WASCO, CA 93280-7515
- **Practice address phone:** (661) 758-8400
- **Mailing address:** 25101 BEAR VALLEY RD, TEHACHAPI, CA 93561-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2012
- **Last updated:** 01/02/2013