# COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AN
- **Other names:** Eastern State Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205936614
- **Legal business name:** COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AN
- **Authorized official:** MR. JACK L. WOOD NHA (HOSPITAL DIRECTOR)
- **Authorized official phone:** (757) 253-5241

## Contact information

- **Practice address:** 4601 IRONBOUND RD, WILLIAMSBURG, VA 23188-2652
- **Practice address phone:** (757) 253-5241
- **Practice address fax:** (757) 253-5065
- **Mailing address:** 4601 IRONBOUND RD, WILLIAMSBURG, VA 23188-2652
- **Mailing address phone:** (757) 253-5241
- **Mailing address fax:** (757) 253-5065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 06/06/2011