Organization
UNISON BEHAVIORAL HEALTH GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MICKEY (REVENUE CYCLE COORDINATOR/CREDENTIA)
(419) 693-0631
Entity
Organization
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201641
—
OH
05
—
2482013
—
OH
Enumeration date
03/16/2006
Last updated
05/14/2020
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