Organization
COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS
Active
Organization
COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE NEWSOME MHA (CHIEF EXECUTIVE OFFICER)
(540) 332-2100
Entity
Organization
Contact information
Practice address
1355 RICHMOND AVE, STAUNTON, VA 24401-9146
(540) 332-2100
(540) 332-2201
Mailing address
1355 RICHMOND AVE, STAUNTON, VA 24401-9146
(540) 332-2100
(540) 332-2203
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
297-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000007824
ANTHEM BLUE CROSS-BLUE SH
VA
05
—
004941047
—
VA
05
—
010064805
—
VA
Enumeration date
05/20/2006
Last updated
08/25/2025
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