Organization
UNISON BEHAVIORAL HEALTH
Active
Other names
Ruby Hanson Host Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIMPSON (BILLING MANAGER)
(912) 449-7109
Entity
Organization
Contact information
Practice address
1007 MARY ST, WAYCROSS, GA 31503-3823
(912) 449-7109
(912) 449-7056
Mailing address
522 CECIL WAY, DOUGLAS, GA 31535-7171
(912) 592-5036
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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