Organization
CALIPATRIA STATE PRISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ELENA CORREA SRN (SRN II)
(760) 348-7000
Entity
Organization
Contact information
Practice address
985 EVELYN AVE, BRAWLEY, CA 92227-5169
(760) 344-3134
Mailing address
985 EVELYN AVE, BRAWLEY, CA 92227-5169
(760) 344-3134
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
511316
CA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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