Organization
COLONIAL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID COE (EXEC DIRECTOR)
(757) 220-3200
Entity
Organization
Contact information
Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
Mailing address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
101Y00000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760565915
—
VA
Enumeration date
04/04/2012
Last updated
04/04/2012
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