| NPI | 1174573802 |
|---|---|
| Doing Business As | DEPARTMENT OF STATE HOSPITALS-ATASCADERO |
| Entity Type | Organization |
| Authorized Contact | GUADALUPE M ALONZO-DIAZ Administrative Deputy Director 916-654-2655 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 150000498) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA 150000498) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 150000498) | |
| 314000000X Skilled Nursing Facility (Licence: CA 150000498) | |
| 333600000X Pharmacy (Licence: CA 150000498) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 150000498) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-10-19 |