NPI | 1114027521 |
---|---|
Doing Business As | EASTERN STATE HOSPITAL |
Entity Type | Organization |
Authorized Contact | JACK L.. WOOD Hospital Director 757-253-5241 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2006-09-25 |
Last Update Date | 2011-06-06 |