National Provider Identifier Database

CORNELL CORRECTIONS OF CALIFORNIA INC
Residential Treatment Facility, Emotionally Disturbed Children

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.


Contact Information

CORNELL CORRECTIONS OF CALIFORNIA, INC.
700 FOURMILE PKWY
CAÑON CITY, CO81212-9114
Phone: 719-276-7500
Fax: 719-276-6961
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for CORNELL CORRECTIONS OF CALIFORNIA, INC.

NPI Number 1376689042
Legal business name
LBN
CORNELL CORRECTIONS OF CALIFORNIA, INC.
Authorized official JOSEPH WILNER - (FACILITY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/30/2007
Last updated 06/29/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 1526789
  • CO Medicaid: 31487319
  • CO Medicaid: 42679249

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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