| 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 |