Organization · NPI-2

Colonial Psychiatric Associates, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Newport News, VA

NPI number1235636069
StatusActive
Last updated in NPPESApr 9, 2018

Details

NPI
1235636069
Entity type
Organization (NPI-2)
Legal business name
Colonial Psychiatric Associates, LLC
Organization subpart
No
Enumeration date
Apr 9, 2018
Last updated
Apr 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

708 Mobjack Pl
Newport News, VA 23606-1957

Phone 757-873-1958 · Fax 757-873-2143

Mailing address

708 Mobjack Pl
Newport News, VA 23606-1957

Phone 757-873-1958 · Fax 757-873-2143

Authorized official

Wendy Burch
Office Manager
7578731958

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Newport News, VA