# CORNELL CORRECTIONS OF CALIFORNIA, INC.

> 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:** 1376689042
- **Authorized official:** MR. JOSEPH WILNER (FACILITY DIRECTOR)
- **Authorized official phone:** (719) 276-7500

## Contact information

- **Practice address:** 700 FOURMILE PKWY, CANON CITY, CO 81212-9114
- **Practice address phone:** (719) 276-7500
- **Practice address fax:** (719) 276-6961
- **Mailing address:** 700 FOURMILE PKWY, CANON CITY, CO 81212-9114
- **Mailing address phone:** (719) 276-7500
- **Mailing address fax:** (719) 276-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1526789 | CO | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 1526789 | CO | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 06/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 31487319 | — | CO |
| 05 | — | 42679249 | — | CO |