Unison Behavioral Health
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Blackshear, GA
NPI 1114064409 · NPPES record last updated Jul 25, 2013
Key facts
- NPI
- 1114064409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- UNISON BEHAVIORAL HEALTH
- Practice address
- 740 Porter Street
Blackshear, GA 31516 - Phone
- (912) 449-8550
- Fax
- (912) 449-7056
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Allen Brown
- Title
- Ceo
- Phone
- (912) 449-7100
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Supportive Employment
Locations
740 Porter St
Blackshear, GA 31516
Phone (912) 449-8550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
740 Porter Street
Blackshear, GA 31516
Mailing address
1007 Mary Street
Waycross, GA 31503
Phone (912) 449-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000866016A | Medicaid | GA |
Other names
- Satilla Community Services
Other providers in Blackshear, GA
- Travis Vincent Streat
- The Baxley & Appling County Hospital Authority
- Clara Thomas
- Lauren Thornton
- Unison Behavioral Health
- Walgreen Co
- Ware County Board of Health
- Donald B. Waters
- Gordon Brent Waters
- Patricia Marie Weiss
All providers in Blackshear, GA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.