| NPI | 1669530192 |
|---|---|
| Doing Business As | SAN CARLOS CORRECTIONAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | DONALD R LAWSON Physician's Assistant 719-583-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: CO 391) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |