Organization
CORNELL CORRECTIONS OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SADLER (SR BUSINESS MANAGER)
(412) 208-4000
Entity
Organization
Contact information
Practice address
700 FOUR MILE PKWY, CANON CITY, CO 81212-9114
(719) 276-7500
Mailing address
2840 LIBERTY AVE STE 300, PITTSBURGH, PA 15222-4776
(412) 201-4124
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1869-01
CO
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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