# LANCASTER STATE PRISON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALIFORIA DEPARTMENT OF CORRECTIONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679916985
- **Legal business name:** CALIFORIA DEPARTMENT OF CORRECTIONS
- **Authorized official:** DR. CHRISTOPHER CORNELL PSYD (CHIEF OF MENTAL HEALTH)
- **Authorized official phone:** (661) 729-2000

## Contact information

- **Practice address:** 4133 W AVENUE J4, 44750 60TH STREET WEST, LANCASTER, CA 93536-6825
- **Practice address phone:** (661) 729-2000
- **Mailing address:** 4133 W AVENUE J4, 44750 60TH STREET WEST, LANCASTER, CA 93536-6825
- **Mailing address phone:** (661) 729-2000
- **Mailing address fax:** (661) 729-6926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | PSY14366 | CA | Yes |

## Other

- **Enumeration date:** 04/17/2013
- **Last updated:** 04/17/2013