| Organization Name: | DEPARTMENT OF STATE HOSPITALS |
| NPI Number: | 1124078704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK BECKLEY (DEPUTY DIRECTOR) |
| Mailing Address: | 24511 W Jayne Ave Coalinga |
| State: | CA US |
| Postal Code: | 932109503 |
| Phone Number: | 5599354301 |
| Fax Number: | 5599357118 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 11/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273R00000X |
| License Number: | 550000061 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Psychiatric Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |