NPI 1306940879

VA Medical Center

Organisation Psychiatric Hospital Augusta, GA

Practice location

Address: 1 Freedom Way, Augusta, GA 30904-6258
Phone: (706) 733-0188
Mailing address: 402 Brandywine Dr, Evans, GA 30809-7032

Authorised official

Name: Glen A. Windley
Title: Social Worker
Phone: (706) 733-0188

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence CSW003441 (GA)

Other Psychiatric Hospital providers in Georgia →

Registry record

NPI: 1306940879
Entity type: Organization
NPI issued: 12 Sep 2006
Record last updated: 29 Jan 2009

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.