Organization
SAN QUENTIN STATE PRISON
Active
Other names
san quentin prison
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MONTHEI PSY. D (CHIEF OF MENTAL HEALTH)
(454) 500-0415
Entity
Organization
Contact information
Practice address
59 ALMENAR DR, KENTFIELD, CA 94904-1143
(454) 500-0415
Mailing address
59 ALMENAR DR, KENTFIELD, CA 94904-1143
(454) 500-0415
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PSY14440
CA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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