# SAN QUENTIN STATE PRISON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** san quentin prison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497156285
- **Authorized official:** DR. ERIC MONTHEI PSY. D (CHIEF OF MENTAL HEALTH)
- **Authorized official phone:** (454) 500-0415

## Contact information

- **Practice address:** 59 ALMENAR DR, KENTFIELD, CA 94904-1143
- **Practice address phone:** (454) 500-0415
- **Mailing address:** 59 ALMENAR DR, KENTFIELD, CA 94904-1143
- **Mailing address phone:** (454) 500-0415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PSY14440 | CA | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/11/2014