Organization
CHARLES HALL HOST HOME
Active
Organization
CHARLES HALL HOST HOME
Active
Parent organization
UNISON BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNISON BEHAVIORAL HEALTH
Authorized official
LAURA MICHELLE SIMPSON (BILLING MANAGER)
(912) 449-7109
Entity
Organization
Contact information
Practice address
1107 CARSWELL AVE, WAYCROSS, GA 31503-4854
(912) 449-7109
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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