NPI 1114027521

Commonwealth of Virginia Department of Behavi

Organisation Mental Illness Intermediate Care Facility Williamsburg, VA

Practice location

Address: 4601 Ironbound Rd, Williamsburg, VA 23188-2652
Phone: (757) 253-5241
Fax: (757) 253-5065

Authorised official

Name: Jack L.. Wood
Title: Hospital Director
Phone: (757) 253-5241

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Virginia →

Registry record

NPI: 1114027521
Entity type: Organization
NPI issued: 25 Sep 2006
Record last updated: 6 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.