Commonwealth of Virginia Central State Hospital

NPI #1669574042 in Petersburg, Virginia

Provider Information

NPI Number
1669574042
Entity Type
Organization
Organization Name
Commonwealth of Virginia Central State Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRAL STATE HOSPITAL
Primary Specialty
Psychiatric Hospital
Enumeration Date
Sep 5, 2006
Last Updated
Aug 1, 2007

Practice Location

Address
26317 W WASHINGTON ST
ZIP Code
23803
Phone
(804) 524-7000

Authorized Official

Name
DR. CHARLES DAVIS
Title
FACILITY DIRECTOR
Phone
(804) 524-7000

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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