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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