Eastern State Hospital

NPI #1093047797 in Williamsburg, Virginia

Provider Information

NPI Number
1093047797
Entity Type
Organization
Organization Name
Eastern State Hospital
Primary Specialty
Psychiatric Hospital
Enumeration Date
Feb 4, 2010
Last Updated
Feb 4, 2010

Practice Location

Address
4601 IRONBOUND RD
ZIP Code
23188-2648
Phone
(757) 253-4309

Authorized Official

Name
MR. JOHN M FAVRET
Title
HOSPITAL DIRECTOR
Phone
(757) 253-5241

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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