Organization
LANCASTER STATE PRISON
Active
Parent organization
CALIFORIA DEPARTMENT OF CORRECTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORIA DEPARTMENT OF CORRECTIONS
Authorized official
DR. CHRISTOPHER CORNELL PSYD (CHIEF OF MENTAL HEALTH)
(661) 729-2000
Entity
Organization
Contact information
Practice address
4133 W AVENUE J4, 44750 60TH STREET WEST, LANCASTER, CA 93536-6825
(661) 729-2000
Mailing address
4133 W AVENUE J4, 44750 60TH STREET WEST, LANCASTER, CA 93536-6825
(661) 729-2000
(661) 729-6926
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PSY14366
CA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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