Organization
COALINGA STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WITHROW (MEDICAL DIRECTOR)
(559) 935-4304
Entity
Organization
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-8009
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-8009
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
51078
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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