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Organization

UNISON BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MICHELLE SIMPSON (BILLING MANAGER)
(912) 449-7109
Entity
Organization

Contact information

Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7100
(912) 449-7056
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7100
(912) 449-7056

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000768963AM
GA
Enumeration date
10/28/2014
Last updated
10/28/2014
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