| The Pavilion At Williamsburg Place | |
|
5483 Mooretown Rd Williamsburg VA 23188-2108 | |
| (757) 941-6400 | |
| (757) 941-6419 |
| Full Name | The Pavilion At Williamsburg Place |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5483 Mooretown Rd, Williamsburg, Virginia |
| Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6157164924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pavilion At Williamsburg Place Po Box 85050 Richmond VA 23285-5050 Ph: (804) 649-9340 | The Pavilion At Williamsburg Place 5483 Mooretown Rd Williamsburg VA 23188-2108 Ph: (757) 941-6400 |
| NPI Number | 1013342146 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013342146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1964 (Virginia) | Primary |
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