Patton State Hospital

NPI #1679710362 in Patton, California

Provider Information

NPI Number
1679710362
Entity Type
Organization
Organization Name
Patton State Hospital
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jan 16, 2009
Last Updated
Jan 16, 2009

Practice Location

Address
3102 E HIGHLAND AVE
Address 2
PROGRAM 4, UNIT 35
City
Patton
ZIP Code
92369-7813
Phone
(909) 425-7363

Authorized Official

Name
DR. ANDREW J TAMANAHA, PH.D.
Title
STAFF PSYCHOLOGIST
Phone
(909) 425-7363

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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