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Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Other names
Canyon Springs Community Facility
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA A CASTANEDA (CHIEF DEPUTY DIRECTOR)
(916) 654-2822
Entity
Organization
Contact information
Practice address
69696 RAMON RD, CATHEDRAL CITY, CA 92234-3353
(760) 770-6200
(760) 328-2769
Mailing address
1215 O STREET, CFS: MS 10-30, SACRAMENTO, CA 95814
(916) 654-3463
(916) 653-4587
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
170000774
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
170000774
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
170000774
CA
333600000X
Pharmacy
170000774
CA
Other
Enumeration date
05/12/2006
Last updated
06/29/2021
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