Provider Demographics
NPI:1164136636
Name:THE ARC OF AUGUSTA, INC.
Entity Type:Organization
Organization Name:THE ARC OF AUGUSTA, INC.
Other - Org Name:THE ARC OF AUGUSTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-712-1728
Mailing Address - Street 1:11 N CENTRAL AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4212
Mailing Address - Country:US
Mailing Address - Phone:540-416-9116
Mailing Address - Fax:
Practice Address - Street 1:11 N CENTRAL AVE STE 8
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4212
Practice Address - Country:US
Practice Address - Phone:540-416-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities