Unison Behavioral Health
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Waycross, GA
NPI 1871998229 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1871998229
- 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
- 1007 Mary St
Waycross, GA 31503-3823 - Phone
- (912) 449-7100
- Fax
- (912) 449-7056
- NPI assigned
- Oct 28, 2014
- Organization subpart
- No
Authorized official
- Name
- Laura Michelle Simpson
- Title
- Billing Manager
- Phone
- (912) 449-7109
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Supportive Employment
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
1007 Mary St
Waycross, GA 31503-3823
Mailing address
1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000768963AM | Medicaid | GA |
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All providers in Waycross, 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 Oct 28, 2014. 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.