| NPI | 1346223153 |
|---|---|
| Doing Business As | EASTERN STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JACK L WOOD Hospital Director 757-253-5241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2011-06-06 |