IndividualActive
Dianne Roberson
NPI 1114293750 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Augusta, GA
Provider details
- NPI number
- 1114293750
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone: (706) 432-7893
Fax: (706) 432-3780
Approximate (ZIP-level) locationGet directions
Mailing address
3503 Caribbean Ct
Augusta, GA 30906-5104
Registry dates
- Enumerated
- 2012-03-28
- Last updated
- 2012-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.