Organization
COLONIAL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. COE MA, MBA (EXECUTIVE DIRECTOR)
(757) 253-4158
Entity
Organization
Contact information
Practice address
1657 MERRIMAC TRAIL, WILLIAMSBURG, VA 23185
(757) 220-3200
(757) 253-4311
Mailing address
1657 MERRIMAC TRAIL, WILLIAMSBURG, VA 23185
(757) 220-3200
(757) 253-4371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945301
—
VA
01
—
C00982
MEDICARE
—
Enumeration date
10/23/2006
Last updated
06/20/2011
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