| NPI | 1093047797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M FAVRET Hospital Director 757-253-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VA 0101049272) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |