Organization · Type 2 NPI
Cornell Corrections of California, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Canon City, CO
Practice location
700 Fourmile Pkwy
Canon City, CO 81212-9114
Fax (719) 276-6961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 1526789 (CO) |
| Psychiatric Residential Treatment Facility | 323P00000X | 1526789 (CO) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2 other providers at this address
About NPI 1376689042
Cornell Corrections of California, Inc.'s National Provider Identifier is 1376689042, issued on Jan 30, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Canon City, CO. The record was last updated on Jun 29, 2012.