NPI: 1023118437
Provider Name: COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Doing Business As: EASTERN STATE HOSPITAL
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
4601 IRONBOUND RD
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 253-5241
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COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI is an assisted living and mental illness assisted living facility in Williamsburg, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI NPI is 1023118437. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern State Hospital.
The provider's business location address is:
4601 IRONBOUND RD
WILLIAMSBURG, VA
ZIP 23188-652
Phone: (757) 253-5241
Fax: (757) 253-5065
The provider's authorized official is J. Frank Gallagher .
The authorized official title is Hospital Director-ceo and has the following contact phone number (757) 253-5241.
The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/26/2015.