Organization
UNISON BEHAVIORAL HEALTH
Active
Parent organization
UNISON BEHAVIORAL HEALTH
Other names
Clinch C&A
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNISON BEHAVIORAL HEALTH
Authorized official
GLYN THOMAS PHD (CEO)
(912) 449-7103
Entity
Organization
Contact information
Practice address
551 OLD PEARSON RD, HOMERVILLE, GA 31634-1724
(912) 449-7109
(912) 449-7056
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7109
(912) 449-7056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606295H
—
GA
Enumeration date
10/08/2010
Last updated
10/05/2015
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