Organization Name: | AUGUSTA HEALTH CARE, INC |
NPI Number: | 1174626642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID E DEERING (CHIEF OPERATING OFFICER) |
Mailing Address: | 79 North Medical Park Drive Fishersville |
State: | VA US |
Postal Code: | 22939 |
Phone Number: | 5402132525 |
Fax Number: | 5402132555 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 126-02-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |