| NPI | 1376633578 |
|---|---|
| Doing Business As | LIGHTHOUSE CARE CENTER OF AUGUSTA |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON Sr VP CFO 610-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: GA 121692) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: GA CCI001286) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 121-658) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: GA CCI001286) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-12-03 |