Organization
HHC AUGUSTA, INC
Active
Other names
Lighthouse Care Center of Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3100 PERIMETER PARKWAY, AUGUSTA, GA 30909-4583
(706) 651-0005
(706) 650-7666
Mailing address
3100 PERIMETER PARKWAY, AUGUSTA, GA 30909-4583
(706) 651-0005
(706) 650-7666
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
121692
GA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
CCI001286
GA
323P00000X
Psychiatric Residential Treatment Facility
121-658
GA
323P00000X
Psychiatric Residential Treatment Facility
CCI001286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238497179A
—
GA
05
—
238497179B
—
GA
05
—
885MXH
—
SC
05
—
892MXH
—
SC
Enumeration date
10/16/2006
Last updated
12/03/2015
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