OrganizationActive
Community Service Board of East Central Georgia
NPI 1164995965 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Augusta, GA
Provider details
- NPI number
- 1164995965
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Community Service Board of East Central Georgia
- Organization subpart
- Yes
- Authorized official
- Michele Prior, Billing Manager(706) 432-4837
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1908 Driftwood Dr
Augusta, GA 30909-4113
Phone: (706) 432-4837
Approximate (ZIP-level) locationGet directions
Mailing address
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Other names (DBA / former)
- Other name
- Woods Host Home
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.