NPI 1275678526
Forensic Community Integration Home-Ecrh
Practice location
- Address
- 2720 Mike Padgett Hwy, Augusta, GA 30906-3736
- Phone
- (706) 792-7141
- Mailing address
- 3405 Mike Padgett Hwy, Augusta, GA 30906-3815
Authorised official
- Name
- James Jackson
- Title
- Interm Regional Hospital Administra
- Phone
- (706) 790-2030
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1275678526
- Entity type
- Organization
- NPI issued
- 21 Feb 2007
- Record last updated
- 22 Aug 2020
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.