NPIMap

Organization Active NPI

Unison Behavioral Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Alma, GA
National Provider Identifier
1891832952
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
UNISON BEHAVIORAL HEALTH
Practice address
123 Quart Douglas Road
Alma, GA 31510
Phone
(912) 632-4150
Fax
(912) 449-7056
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Allen Brown
Title
Ceo
Phone
(912) 449-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

123 Quart Douglas Road
Alma, GA 31510

Mailing address

1007 Mary Street
Waycross, GA 31503
Phone (912) 449-7100

Other identifiers 1

IdentifierTypeStateIssuer
000606295YMedicaidGA

Other names 1

  • Satilla Community Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Supportive Employment71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1891832952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31503",
            "telephone_number": "912-449-7100",
            "fax_number": "912-449-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 QUART DOUGLAS ROAD",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "31510",
            "telephone_number": "912-632-4150",
            "fax_number": "912-449-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNISON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-449-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000606295Y",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satilla Community Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.