Organization
CARPENTER 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 (MANAGER)
(912) 449-7109
Entity
Organization
Contact information
Practice address
806 GRADY AVE N, DOUGLAS, GA 31533-4812
(912) 449-7100
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7111
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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