Organization
DONNEL CROSS HOST HOME
Active
Parent organization
UNISON BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNISON BEHAVIORAL HEALTH
Authorized official
GLYN THOMAS PHD (CEO)
(912) 449-7100
Entity
Organization
Contact information
Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7100
(912) 449-7063
Mailing address
408 MACKENZIE CIR, DOUGLAS, GA 31533-1319
(912) 331-5816
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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